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Inspection visit

Routine inspection

GENESIS MANOR IVLicense 198204544
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 02/04/2023 at 12:50 pm. LPA was met by Caregiver Natividad Almodovar and explained the purpose of the visit. At 1:10 pm Administrator Gerry Markie later arrived to lead tour. Facility is licensed to clients over 60 years old. The facility cares for elderly residents with dementia and is allowed to care for three (3) hospice residents.There are curremtly zero (0) residents in hospice care. LPA requested and obtained a copy of Personnel Report (LIC 500), Resident Roster (LIC 9020), and copy of liability insurance. LPA OBSERVATIONS: Tour was given at 1:17 pm. The facility is located on residential street. The facility consists of five (5) bedrooms, two (2) bathrooms, kitchen, dining room, living room, linen closet, attached garage, open front yard and enclosed backyard. · Front Yard: Was clean and well maintained. No hazards were observed or large bodies of water. · Kitchen: LPA observed kitchen to be clean and appliances appeared to be in working order. LPA observed sufficient 2 days of perishables and 7 days of non-perishables. Kitchen sink water temperature was measured at 119.8 degrees F. Signs promoting hand washing and social distancing were observed. Sharps were secured in cabinet and inaccessible to residents · Dining Room/Living Room: Dining room area was clean, and LPA observed a table with 5 chairs. Living room area had 2 couches for seating. Signs promoting social distancing and cough/sneeze etiquette were observed throughout this area. LPA observed emergency food supply and emergency water supply located in cabinet. · Linen Closet: Contained plenty of linens, towels, and hygiene products. · Resident Rooms 1 - 5: All contained the required furnishings, linens and were observed to be clean. · Bathrooms: Shared resident bathroom# 1 was observed to be clean and contained soap and paper towels. Water temperature in this bathroom was measured at 105.1 degrees F which is in the required 105 – 120 degrees F. Bathroom #2 located in resident bedroom # 4 water temperature was measured at 105.4 degrees F which is in the required 105 – 120 degrees F. · Centrally Stored Medications: Is located near front door closet and was secured and inaccessible to clients. LPA reviewed 5 out of 5 client’s medications. First aid kit was observed and inspected. · Attached Garage: Contained a washer and dryer. LPA observed PPE supplies. Administrator certificate was observed for Gerry Markie with an expiration date: 07/18/24. Last fire drill was conducted on 12/08/2022. LPA observed carbon monoxide in hallways. Smoke detector is hard wired and tested during visit. No deficiencies were cited during visit. Exit interview was conducted with Administrator Markie and a copy of this report was left.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the February 4, 2023 inspection of GENESIS MANOR IV?

This was a inspection inspection of GENESIS MANOR IV on February 4, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to GENESIS MANOR IV on February 4, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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