Facility Evaluation Report

Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct annual required inspection and met with Administrator Cristina Concepcion. LPA explained to the Administrator the purpose of the visit.

During the visit, LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, kitchen, dining, garage and backyard. Hot water measured at 138.5 Fahrenheit. There was sufficient supply of perishable and non perishable foods. LPA observed sufficient supply of warm blankets, sheets and towels available for use of the residents. Smoke detectors and carbon monoxide were tested and observed functional. First aid kit was observed to be complete.

LPA reviewed 2 resident and 2 staff files. LPA interviewed 2 staff and one resident.

The following deficiencies were observed:

hot water measured at 135 degrees Fahrenheit

Both staff on duty did not have any first aid training

window screen/screen door observed taped and with holes

unused equipment, commodes, wood planks, etc were observed on the side

fire extinguisher was last inspected on 7/8/2021

R2 has dementia and last medical assessment was made in 2022

missing staff and resident records were observed

S2 does not have TB test and health screening on file

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties.