Facility Evaluation Report

Licensing Program Analysts (LPAs) Christine Dolores and Davide Hailu arrived unannounced to conduct the facility's Required - 1 Year. LPAs met with Administrator, Travis Clawson.

During visit, LPAs toured the facility with Administrator to include the entrance, dining room, kitchen, resident bedrooms, bathrooms, offices, medication rooms, and exterior. All fire exit routes are free and clear of obstruction. Fire extinguishers last serviced on 02/10/2023. Hot water temperature maintained at 108 degrees Fahrenheit.

Dining room area is equipped with cups, plates, utensils, and daily menus. Refrigerator temperature maintained at 35 degrees Fahrenheit. Freezer maintained at 0 degrees Fahrenheit. Resident bedrooms supplied with beds, adequate lighting, chair and closet. Bathrooms supplied with toilets, sinks, and showers. Showers equipped with grab bars and shower chairs.

LPAs reviewed 5 resident records. Resident records contained physician's report, TB information, appraisal/needs and services plan, consent forms, identification and emergency information, personal rights, and centrally stored medications records.

LPAs reviewed 5 staff files. Staff records contained 1st aid certification, job applications, health screening, TB information, and criminal record clearance. 3 out of 5 staff contained a 1st aid certification.

Facility has an updated emergency disaster plan. Facility conducts their emergency disaster drills quarterly. Facility is equipped with an emergency disaster kit. First aid kit contains bandages, gauze, tweezers, and scissors.

Due to insufficient time, LPA will return another day for the annual continuation. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Clinical Coordinator, Karen Padilla and a copy of the report was provided.