Facility Evaluation Report

On 1/24/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Director, Cedic Tanner and explained the purpose of the visit.

LPA Boyles and facility director toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free. Each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed each bedroom to have the required furnishings, working lights and windows with screens. LPA observed chemicals accessible to residents in two locations, the hall bathroom and the laundry room. LPA observed the storage of chemicals in the food pantry.

Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 120 F. LPA observed one (1) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the first aid kit to be complete and ready for use.

LPA reviewed a total of four (4) residents' files and three (3) staff files which contained all of the required documentation. LPA observed the facility emergency disaster plan in need of updating. Facility conducts emergency disaster drills monthly. LPA was unable to review the infection control plan.

Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code.

An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A

copy of this report, LIC 809-D, and Appeal Rights were discussed and provided.