Routine inspection·October 26, 2022

On October 26, 2022, Licensing Program Analyst (LPA) Wendy Gibbs and Licensing Program Manager (LPM) Janae Hammond, conducted an unannounced Annual inspection, to ensure infection control measures. LPA and LPM met with Camille Crenshaw, Executive Administrator and explained the purpose of the visit. Facility currently has 68 clients. The structure is two story building which consist of the following: The first floor consists of resident rooms, storage rooms, laundry room, living room, art room, visitor restrooms, kitchen, dining room. The second floor consist of an activity room, resident rooms, and storage rooms. Bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, a non-skid mat was in place and some residents had chairs as well. Temperature in the bathrooms measured 109.8-110.1 F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Kitchen Food supply was checked. Refrigerator was stocked with perishables. Freezer was stocked with frozen meats, vegetables, and fruits. Pantry had ample food supply stocked. Appliances were all in working order. Common areas were clean and for the most part clear of hazards; doorways were free of obstructions. Linens & Hygiene Supplies : In the storage closet there were an ample supply of pillowcases, mattress pads, fitted sheet, blankets, bedspreads, hand towels, bath towels and wash cloths were observed. The outdoor perimeter of the building consists of an outdoor two (2) shaded area, outdoor garden, and a designated smoking area. There were three (3) storage sheds by the garden. Emergency Phone Numbers, Exit Plan & Menu : The telephone land line is operational. Emergency Disaster Plan and "See something, Say something, Let Us Know" posted. Multiple fully charged fire extinguisher were observed on both floors. The facility conducted a fire inspection on August 31,2022. The facility had a fire drill in August 2022. Clients & Staff Files : Records of staff and clients were reviewed. Records are stored in front staff office. Medications, First-Aid Kit & Book : Medication is stored in locked medication room. Reviewed MARs for residents. First aid kit was inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze. They did not have the first aid manual. First aid and medications are available for staff use but inaccessible to clients. LPA reviewed the Surety Bond and Liability Insurance. LPA observed staff wearing masks, Visitor Log /Symptom screening Log, Designated isolation room, required Covid-19 Postings, 30 day supply of PPE and other required documents, including phone numbers are posting as mandated by the DPH and CCLD. LPA informed Administrator that facility fees are overdue. Deficiencies to be cited LPA observed: In room 220 fan cover was missing in the bathroom. In activity room there was an accessible paper cutter. In room 140 resident uses oxygen and there is no sign posted outside of the room. In the garden there was a shovel and pick ax accessible to residents and two (2) storage sheds were unlocked. Storage shed 1 (one) contained hazardous chemicals and storage shed 2 (two) contained gardening tools. Deficiencies cited under California Code of Regulations Title 22 Division 6, Chapter 8. Exit interview conducted with Camile Crenshaw and provided with Appeals Rights.