Facility Evaluation Report
On 9/4/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required one year annual inspection. LPA Jensen met with care provider Maria Araiza and explained the purpose of today's visit. Maria Araiza advised LPA Jensen that she has submitted an application for licensure in anticpation of a change of ownership. Licensee Bonnaire Yepez has confirmed that she is in the process of transferring the licensure.
LPA Jensen toured the grounds and found them to be well maintained with all paths clear of obstruction. LPA Jensen toured the interior and observed there to be adequate lighting and furnishings. There are currently 5 residents with 4 residents in the home and 1 resident in the hospital. The smoke detectors were determined to be in good working order. There are no carbon monoxide detectors in the home. LPA Jensen toured the kitchen and observed insufficient perishable food and non-perishable food. The perishable food was restocked in the presence of LPA Jensen and non-perishable food was ordered on line in the presence of the LPA to be delivered tomorrow. The fire extinguisher was last serviced in 2022 and was out of compliance. A new fire extinguisher was purchased and delivered during the course of this visit. The smoke detectors were observed to be in working order. There are no carbon monoxide detectors according to the care provider and LPA Jensen did not observe any.
LPA Jensen Jensen reviewed the Medication Administration Record (MAR) for resident 1 (R1) and saw an ace inhibitor medication listed as a PRN. LPA Jensen checked the label and saw the medication was not a PRN. The medication came in a bubble pack and appeared to be administered on a daily however the number of pills remaining did not align with the dates listed on the Centrally Stored Medication and Destruction Record.
The laundry room was inspected and cleaning products were observed that were accessible to residents in care. Various grooming supplies such shampoos, cleansers, wound treatment was also observed in 2 bedrooms to be accessible to residents in care.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction