Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived announced to conduct a pre-licensing inspection and was greeted by Martha Marimbi, Administrator. Facility currently does not have residents in care. Facility has fire clearance for 8 non ambulatory residents. Bedrooms #1 and #2 and the guest house are proposed to have double occupancy. Once obtained, Administrator will submit proof of required Liability insurance.

At approximately 9:00am LPA and Administrator toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed within regulation emergency supply of non-perishable food. Kitchen has locked cabinet that will be used for medication storage and file storage. LPA and Administrator discussed the open area kitchen with range. Administrator will ensure all knobs on range are removed for resident safety when staff is not actively cooking or utilizing range. Two locked drawers are dedicated for sharp knives. Administrator advised they will be changing from latch lock to magnet locks. Sample menu present in dining area as well as activity calendar.

Facility is a one story residence with four bedrooms, three full and five half bathrooms, a guest house which is separate from main building that will be used as a resident room, a dedicated entertainment space, and dining and living room common areas. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Extra linens and bedding observed. Each bedroom has a hanging chandelier that could potentially be a safety hazard. Administrator advised they will be shortening each and every chandelier chain in order to mitigate safety risk.

Smoke and carbon monoxide detectors present and functioning, last serviced September 2023. Five fire extinguishers present and last serviced on March 16, 2023. First aid kit present but missing scissors and thermometer. Per Title 22 regulation 87465(8)(D) scissors are required and per 87465(F) a thermometer is required. Administrator advised they will purchase required scissors and thermometer. Emergency lighting present and functional. LPA observed all required postings and posters present. Administrator advised that they will use personal vehicles for transportation.