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Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made a visit to the facility to conduct a required annual inspection. LPA met with Wilson Bryant III, Licensee, and discussed the purpose of the visit. The facility is a two (2) bedroom, three (3) bathroom with attached garage, Residential Care Facility for the Elderly (RCFE). The facility's license capacity is (4) with a current census of (0) residents in care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Resident’s bedrooms had beds, bed linen, and furniture in good repair. The facility is equipped with carbon monoxide alarms, fire extinguishers, laundry equipment and covered fireplace. The facility had a sufficient supply of linen and towels. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, Personal Rights, disaster evacuation plan and emergency telephone numbers, and house rules. Sharps, disinfectants, and cleaning solutions were kept in a locked closet. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient plates, cups, utensils, and food storage space. Care & Supervision: Currently there are no staff or residents in care. Record Review: The Licensees' Administrator’s certification is current. Currently there are no staff or residents in care to conduct a file review. Medical Related Services: The facility has a locked closet where medications will be stored. The facility has a complete first aid kit. Technical assistance notes were issued during today’s visit. An exit interview was conducted where this report was discussed and a copy provided to the Licensee at the conclusion of the visit.the state’s words, verbatim · CDSS document, Feb 10, 2025

The state marks this report as 8 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Wilson G Bryant III and was granted entry to the facility. The facility is a (2) bedroom (3) bathroom home and, with a kitchen/dining area, living room, and attach garage. LPA was accompanied by Administrator Wilson G Bryant III to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. Record Review: Based on facility tour and interview, Administrator stated the facility does not have residents and has not had residents for a year. During facility tour LPA did not observed residents living at the facility. LPA also reviewed (1) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Wilson G Bryant III.the state’s words, verbatim · CDSS document, Jan 25, 2024