Facility Evaluation Report

On 2/8/2024 at 12:55PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Lead DSP 2, Fidel De Castro and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke detectors are interconnected. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 12/16/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 113.1 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathroom. There were adequate lights in each room. First Aid kit is complete. No bodies of water observed. Indoor and outdoor passageways were free of obstruction. LPA reviewed 4 clients and 3 staff files starting at 2:00PM.

At 2:45PM, LPA observed C1 does not have a current IPP or Re-appraisal/ Needs and Service Plan.

At 3:30PM, LPA observed Administrator Certificate was expired on 12/6/2022. LPA reviewed CCLD website and did not find administrator on active or pending list. LPA was informed that Administrator did not submit renewal to CCLD.

At 4:00PM, LPA observed S2 does not have TB test results on file.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties.

LPA will return at a later time to complete the inspection.

Exit interview conducted. A copy of this report and appeal rights were provided.