Facility Evaluation Report

Licensing Program Analyst (LPA) Julie Florio arrived unannounced for the purpose of conducting a quarterly Non-Compliance (NCC) visit and was greeted by new Staff 1 (S1) and new Staff 2 (S2). Licensee, Imelda Padema was contacted via telephone and arrived at approximately 10:30 AM. Facility is a Residential Care Facility for the Elderly (RCFE) with five [5] residents in care and one more moving in this weekend.

At approximately 10:40 AM, LPA toured facility with Licensee and observed the following: LPA observed cleaning detergent, bleach and a bottle of Seagram's Extra Dry Gin unsecured in the facility laundry area. Licensee secured the items immediately and stated the Gin was for a resident with physician's order for it. LPA confirmed the physician order and informed Licensee that the alcohol needs to be secured, Licensee locked the alcohol in the medication closet immediately. LPA also observed cleaning supplies and chemicals in the garage which was accessible to residents in care. Licensee states they will have the laundry room door installed with a lock.

LPA observed that the constructed bedroom in the garage is being used by staff as sleeping/living quarters as evidenced by two open suitcases and additional bags filled with clothing and personal items and a sleeping cot set up (See pictures). LPA informed Licensee that the room is not permitted for staff or resident use. The room shall be used for storage only. Staff 1 (S1) stated they sleep on the couch in the facility. LPA informed S1 and Licensee that no staff or resident shall sleep in a common area of the facility per regulation. LPA observed the shed in the backyard to be unlocked with chemicals and tools accessible to residents in care. The shed was being used only for storage. LPA informed Licensee that the outdoor shed shall be locked at all times. LPA, Karina Canela cited the facility for these same areas of concern on 7/10/2023 after several discussions regarding the same issues on 04/19/2023, 01/25/2023, 06/28/2022, 06/02/2022, 05/23/2022. Today, LPA Florio re-emphasized that the "facility does not have a building permit for the staff bedroom in the garage and staff are occupying the bedroom at this time. Facility did not submit a building permit to CDSS CCL as required.... [T]he bedroom is required to be inspected and approved by the Fairfield Fire Department, and Licensee must obtain a building permit to ensure it is safe for staff to occupy.