Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) Tuesday Cabiness conducted a PRE-LICENSING visit to the above address 23217 Cuervo Drive, Valencia, CA 91354. LPA met with Co-Administrator Christopher Mendoza. The inspection included, fire safety, personal accommodations, building and grounds, furniture/equipment, food service, and medication. Fire Inspection was approved on March 22, 2023 which met fire department requirements. The application did not specify an approval for hospice, and currently the facility has (2) residents on hospice. LPA informed Co-Administrator to contact the application unit regarding the hospice waiver. Note, this inspection is a change of ownership; with the previous licensee who was approved for hospice. Facility sketch, emergency disaster plan, complaint procedures, personal rights, emergency exit plan, and other required Licensing were visibly posted. COVID signs, visitor book, and hand washing station observed at the front entrance.
The physical plant was toured inside and out with Co-Administrator Chris. The facility is a one level home, with (6) bedrooms with (2) bathrooms; (1) room is for staff and (1) room is shared. Food supply was inspected and observed, and storage areas, cabinets, pantries, cupboards counters, and refrigerator were clean and appropriate for food preparation. Knives and medication were stored in cabinets located in the kitchen area. Appliances were clean and functional, and utensils, plates, and cups were in good repair. Cleaning supplies, poisons, toxins and chemicals were locked and stored in the garage area. There was enough supply of linens and towels, which were stored in a cabinet located in the hallway. Hygiene products were also available, which were locked and secured. LPA observed at least (30) day supply of PPE.
The common areas included the dining, living, bathroom, and bedrooms. Doors and passageways were clear and unobstructed. Walls, ceilings, floors, window screens and all other rooms were clean, in good repair, and appropriately furnished. Resident rooms observed to have a mattress with pad, sheets, pillow, bedspread, dresser, closet space, and chair.
Bathrooms were clean had functional fixtures, with soap and towels, non-skid mats, grab bars and hand washing signs were posted. The water temperature was checked. The back yard is completely fenced with a gate easily accessible and unlocked. There are no swimming pools or other bodies of water, no visible hazards around the surrounding grounds. Patio furniture available for resident's use.
Smoke detectors and carbon monoxide were hardwired and operating. Fire extinguisher is fully charged. Telephone service already operating from previous owners. First aid kit inspected. Staff/client files and medication locked and secured. .
COMP III discussed and infection plan.
Exit interview conducted and copy of report provided to Co-Administrator.
