Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Caregiver. Administrator Arthur Alcones arrived later. Facility currently has one resident on hospice which is allowable per the facility's Hospice Waiver.

At approximately 9:30am LPA and Administrator 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. Kitchen cabinet containing cleaning supplies and sharp knives was locked.

Per LPA observation and record review, all bedrooms were equipped with lighting, night stand, and chest of drawers. All bathrooms did not have non-skid bath mats, bathroom in room #5 had a mat but the non-skid did not work and would slide with ease once stepped on (deficiency cited, see 809D ). Water temperature in sink(s) accessible to residents in care measured at 118 degrees F which is within the allowable range of 105 to 120 degrees F.

LPA and Admin observed bathroom in room #5 did not have grab bars. Per Title 22 regulation 87303(a)(4) Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (4) Grab bars shall be maintained for each toilet; bathtub and shower used by residents ( deficiency cited, see 809D ). In bathroom #3 the bottom of the sink is cracking and peeling off, a white bath mat was found to have a brown film and was not non-skid. Bathroom in room #1 smelled of urine and brownish yellow pool film of a substance was located on back side of toilet, sticky and yellow film in front of toilet, and spatters of a dark substance on the wall. Also, bathroom in room #5 and room in general had strong smell of urine.