Routine inspection·January 21, 2025

LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 6 client bedrooms--all with half bathrooms and exit doors--one staff break room, one common half bathroom, one full bathroom for staff, office, kitchen, living and dining rooms. There is a fenced and level backyard and wooden deck around the sides and back of building. Washer and dryer are located in one car garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Fresh and non-perishable food supplies are maintained. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and hot water temperature tested at 116 degrees. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 5 residents present and 3 staff. Two residents receive hospice services. Client records are reviewed. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Other required staff records--including current first aid training and health screenings--will be reviewed at a later date. Vivian Fragiacomo is a RCFE administrator (x 11/24) that has submitted education certificates for renewal of administrator certificate. The following information/forms are requested to be submitted to CCLD BY 2/4/25: - Administrative Organization (LIC309) - Designation of Administrative Responsibility (LIC308) - Personnel Report (LIC500) - Emergency Disaster Plan (LIC610D) - Bedridden plan of operation - Proof of current liability insurance - Infection Control Plan (LIC9282) Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following page.