Facility Evaluation Report
On 08/15/2024 at 02:00 PM Licensing Program Analyst (LPA) Sarah Benson arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Holly Keys (cert #7025647735 exp.08-07-24) and explained the purpose of the visit. LPA Benson and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to three (3) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. One client room was locked with no key available. Staff and resident files were reviewed. Medications were also reviewed. Medication is locked in a locked closet.
The common area was clean and in good repair. In the dinning area the floor is damaged. The bedrooms that were inspected had required furniture, bedding, and lighting. The bathrooms were clean and in good repair. The kitchen was clean and in good repair. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food.
The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Smoke detectors are all operational. No Fire extinguisher present at the facility. Hot water temperature measured 121.9 degrees F not within required Title 22 regulations of 105 degrees F and 120 degrees F. All employees requiring background checks are cleared. There is a schedule of activities planned for the clients. All required postings are displayed within the facility.
No pools/bodies of water are on the premises. No firearms are on premises. The last disaster drill was conducted and documented on 08-05-24, the facility has been conducting drills every 3 months.
The following deficiencies were observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties.
Exit interview conducted, a copy of the report, and appeal rights provided to administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction