Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct a Case Management - Annual Continuation inspection and met with Dante Ward, Licensee and Administrator. The purpose of this visit is to review additional items that were not completed during the annual inspection on 03/07/2023.

LPA observed hygiene supplies, hand soap and paper towels available in bathrooms. Food supply was within regulation. Client medication was centrally stored. LPA discussed regulation 80075(k)(5) with administrator. Bedrooms were furnished per regulation. Staff records were reviewed during this visit; staff have cardiopulmonary resuscitation (CPR) training and first aid training completed.

LPA reviewed client's facility files and observed 3 of 4 clients with their LIC 602 Physician's Report to be missing. LPA requested client's to be evaluated by their primary physician and to complete the LIC 602 as required. Copies of LIC 602's to be submitted to Community Care Licensing.

Exit interview conducted with Administrator, whose signature on this document confirms receipt.