Inspector’s narrative
What the inspector wrote
On 4/11/23 at 9:00 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Narra tree-Jeffrey Home. Upon arrival LPA was greeted by Administrator, Christina Cruz and Licensee Maria Santos arrived at 9:20 a.m. The licensee prefers to serve (6) non ambulatory residents, age 60 and over. The home is vendored through Harbor Regional Center. There were (1) client in care during the time of this visit, the other (2) clients were at the day program an (1) client is hospitalized. The last emergency disaster/fire drill was conducted on 4/04/23. The Administrator Certificate expires on 4/27/2023 #6025870740. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (5) staff files, (4) client files, medications, and medication administration records for (4) clients and P&I.
This home contains 4 bedrooms, 2 bathrooms, 2 living room, office, kitchen, dining room, back yard with a shed and an attached garage. LPA toured the physical plant with the Administrator. and observed all (4) client bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The two bathrooms contain a working toilet, basin and water faucet, walk in shower with grab bar, shower chair, and bathmat. The temperature measured at 96.9 *F-109.9*F respectively which does not meet title 22 guidelines. This poses a potential safety hazard to the clients in care. The smoke detectors were battery operated and individually tested and observed to be working properly. The carbon monoxide detector was located throughout the facility, tested, and functioning properly. There were (1) fire extinguishers located in the hallway fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives and toxins was secured and locked. The pantry was well stocked with canned goods, pasta, cereals, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines. Walls and floors, cabinets and counters were clean and sanitary throughout the home
(Report continued on LIC809C.)
The outdoor grounds were toured and inspected, and the back yard was well maintained with a shaded seating area accessible for client use. The garage contained a working washer and dryer, with cabinetry that contained emergency supply kits, bottled water, toiletries, personal care supplies, and toxins and cleaning agents stored locked and inaccessible to the clients.
The dining room contained playing cards, board games and activity supplies available to the clients. In addition, a non-working fireplace contained a covered screen so that it was inaccessible to the clients.
The office contained notifications and postings: California Labor Laws, Emergency Disaster Plan, personal rights, facility license, business license, medical emergency information, let-us-know licensing contact information, consumer grievance, support services, community resources and client hygiene schedule.
The following Deficiencies were cited on the LIC809D under Title 22 California Code of Regulations Division 6, Chapter 1 & 6. Exit interview conducted with Maria Santos, Administrator, a copy of this report was provided, and Appeal rights given.
