Facility Evaluation Report, 11/30/2023 — Canterbury Home, the, Santa Rosa CA

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Donalisa Davis, Caregiver. Keith (Donald Keith) Fletcher, Licensee arrived later at approximately 9:30am. Regina Borja, Administrator (certificate# 6066761740 expires 8/6/2025) arrived later at approximately 9:45am. Sophie Fletcher, Administrator arrived at approximately 12:00pm. Facility currently has five (5) residents, two (2) of which are on hospice which is allowable per the facility's Hospice Waiver for three (3). Facility contact information was reviewed.

At approximately 9:45am LPA, and Administrator Borja toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled. 4 cans of sweet yams were expired as of 9/2023. LPA observed Administrator immediately discarding expired cans in trash ( see Technical Violation ). Kitchen cabinet containing cleaning supplies was locked. LPA observed fireplace in dining area that needs to be screened. Administrator says it is not in use ( see Technical Violation ).

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sink(s) accessible to residents in care measured at 105.3 and 112.8 degrees F, respectively, which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected July 14,2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have an auditory alert system that was functional at time of inspection. Facility’s last quarterly disaster drill was conducted on 10/30/2023. Facility has a backup generator for use during a power outage.