Post-licensing visit·September 29, 2022

Licensing Program Analyst (LPA) Victoria Brown and Dana Garcia, Associate Governmental Program Analyst (AGPA) arrived unannounced to conduct a Post Licensing visit on 9/29/22 at 1:30PM. Administrator Certificate expires 4/25/2023. LPA met with Brenda Chappell, Administrator regarding the purpose of todays visit. The facility is licensed for a capacity of 125 Non-Ambulatory residents. A Hospice Waiver was approved to allow 15 residents to receive hospice care services. Currently there is 1 resident receiving hospice services. LPA, AGPA, and Administrator toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed and interviewed residents during this visit. LPA observed 2-day perishables and 7-day non-perishables. The temperature inside the facility was observed at 73*F which is within the required range of 68-85*F. The hot water temperature was measured in a random amount of rooms to be at 109.8*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. Upon a file review the following items were discussed to be submitted with any changes annually: Liability Insurance Personnel Report (LIC500) Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited during this visit. An exit interview was conducted. A copy of this report was provided.