Facility Evaluation Report
At 7:15am on 11/04/2024, Licensing Program Analyst (LPA) Jeffries arrived at the facility to conduct and unannounced annual inspection LPA met with Licensee Donna Derrick and explained the reason for the visit.
The facility is located in a rural location approximately 30 miles from Templeton and 30 miles from San Luis Obispo,There are local emergency services in this area. The clients in this home have been at this location between 43 to 55 years together.
LPA toured facility with Licensee. The facility is maintained in conformance with state fire marshal regulations. Smoke detectors and carbon monoxide detectors functioning throughout the home. Fire extinguishers are new and were fully charged. Inside and outside passageways are free from obstruction. The inside temperature is a comfortable 74 degrees (f) when the temperature outside was 41*(f) at time of annual inspection. The water temperature was measured within regulation requirements of 105* -120*(f). Residents’ rooms are appropriately furnished with adequate lighting. LPA observed more than two days of perishable and more than seven days of non-perishable food. A written disaster and mass casualty plan is readily available located on the facility hallway wall. LPA reviewed staff and client files,
LPA reviewed centrally stored medication logs.. Medications are stored in a locked box in the kitchen cabinet. There is a signed and dated order from a physician for prescriptions. LPA observed the centrally stored medication medication record (CSMRR) and medications are given per physician's orders. Licensee and LPA discussed future client transition and the tentative plan is to combine the 3 clients from facility one to combined all 6 clients at this facility (#2) it there is a need. Both facilities have their own current Administrator.
Licensee and LPA conducted a full review of the annual control tools modules. LPA noted no deficiencies, violations or citations were issued as a result of the annual control module full review. LPA noted that there were no deficiencies, violations or citations were issued as a result of the annual inspection
Exit interview, no deficiencies cited, report given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction