Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with Gisell Gomez and explained the purpose of the visit.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 140 degrees Fahrenheit in client's hallway sink that is used for washing hands and brushing teeth, which is not the required range of 105 to 120 degrees .

Fire extinguishers and smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. During the medication review LPA and Med-tech observed medications without a label (photo taken). Also observed during the medication review was a bubble pack for R1 with medication pushed for 10/25/2021, this is a medication error (Photo taken).

LPA reviewed 5 resident and 3 staff files, including criminal record clearances. First aid kit was checked and is complete. Fire drill was conducted on 8/21/2021.

Deficiencies were observed pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted .