Facility Evaluation Report
On this day, November 29, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection and met with staff, Noel Fernandez, and informed the reason for visit. LPA called and left message on Beth Nunez, administrator. At 11:24 am. administrator returned LPA's call and stated she can not come to the facility at the moment. Administrator arrived at 3:30 pm.
Facility has LIC808 Mitigation Plan; however, administrator has not submitted the LIC9282 Infection Control Plan.
LPA toured the facility inside out with Noel Fernandez. LPA inspected the living room, dining, kitchen, bathrooms, residents and staff room, garage. front, side and backyard. Food were checked and observed supplies of 2 days of perishables and 7 days of non-perishables.
Facility has smoke and carbon monoxide detectors that were tested and observed functional. Hot water temperature in the 2 bathrooms were tested. Facility conducts disaster drills monthly, and records showed last conducted November 6, 2023.
LPA reviewed 5 staff and 4 residents files, and interviewed 3 residents and 1 staff. Medications checked, and compared with records and doctor's orders. Residents cash resources records reviewed.
-at 11:07 am, hot water temperature at 98.2 degrees Fahrenheit.
-at 11:10 am, missing drawer in one of the residents rooms.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction