Facility Evaluation Report
On 10/11/23 at 8:36 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by Co-Administrator Monica Marrero. Licensee/Administrator (ADM) Carrie Blue arrived a short time later.
LPA toured the facility and did not observe any obstructions. Facility was set at a comfortable temperature. Facility has an installed pull station fire alarm. Hot water in women's restroom measured at 113.4 degrees F. Facility does not assist with self-administration of medication. Sick room designated to front reception area. Chemicals are stored in locked electrical room. A sample of staff and client records were reviewed.
The following deficiencies were observed:
1. ADM and S2 do not have current first aid and CPR certification, and last expired on 6/16/23.
Deficiency is being cited based on LPA interview and record review conducted in accordance with the California Code of Regulations, Title 22, see LIC809D.
An exit interview was conducted and a Plan of Correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and left with Administrator, whose signature on this form confirms receipt of these documents.
The following updated documents are to be submitted within 2 weeks:
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction