Routine inspection·March 19, 2024

03/19/2024 10:30 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Stacey Baxter and explained the purpose of the visit. COO Diania Bingham was also present for the inspection. LPA Knight and the administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and facility grounds. Staff and resident files were reviewed. All employees requiring background checks are cleared. Medications were reviewed. There is a schedule of recreational activities planned for the residents. Bedding, linens, and towels for residents were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the residents. Medication is locked in a locked cabinet in a locked room. The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. The facility has a second building that contains 3 resident rooms but is not occupied presently. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational and are inspected annually by fire marshall and monitored by Foothill Fire Protection continually. There are no pools/bodies of water are on premises. Disaster drills are conducted every six months, the facility has been conducting fire drills every 3 months. Continued on LIC809-C LPA reviewed 6 staff files. 4 of 6 staff files had expired first aid training certificates. LPA observed the following during the tour of the facility: East side covered patio: wooden desk, med cart, commode. Back patio next to storage shed: broken patio table. West side of building: twin mattress on patio. Rear of building, south side: 2 window screens laying on the ground. Gutter above south side patio had weeds growing. Refrigerator in kitchen in dining room needs to be defrosted. Medication room: Window screen missing from window. Deficiencies are being cited as a result of today’s inspection and are included on the attached LIC9099-D forms. Exit interview conducted and copy of report was provided to administrator Stacey Baxter.