Facility Evaluation Report

On this day, 5/07/25, at 12:00 noon, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Daphna Garcia, administrator (ADM), and informed the reason for visit. Kim Fields, licensee, arrived at around 12:15 pm and have to leave after several minutes.

LPA toured the facility inside out with ADM. LPA inspected the kitchen, dining area, living room. bedrooms, bathrooms, activity/family room, front, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications is locked in the office.

Fire extinguishers were observed fully charge with tags showed serviced December 24, 2024. Facility has carbon monoxide and smoke detectors that were tested and observed functional. Hot water temperature in one of common bathrooms was tested, and measured at 111.8 degrees Fahrenheit. Facility conducts fire and earthquake drills at least every quarter, and records showed last conducted April 23, 2025 and March 24, 2025 respectively.

LPA reviewed 5 staff and 2 residents records. Medications were checked and compared with doctor's order and LIC622 Centrally Stored Medication and Destruction Record. P&Is were checked and compared with last recorded balance.

-at 12:09 p.m., pizza cutter and 2 kitchen shears in kitchen drawer without lock.