Facility Evaluation Report

On 3/20/2024 at 8:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Program Director, Jessica Turner and explained the purpose of the visit. Administrator, Alexandria Archangel arrived 30 minutes later. The facility’s fire clearance was approved for 6 ambulatory clients.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, common area, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 7/7/2023. One week of nonperishable and 2-day of perishable food supplies were available. 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. Last fire drill was conducted on 3/1/2024.

LPA reviewed 4 clients and 3 staff files starting at 9:30AM. LPA reviewed a sample of client's medications starting at 11:30AM. LPA interviewed 2 clients and 2 staff starting at 12:00PM.

At 9:25AM, LPA measured hot water at 132.4 degrees F in the hallway bathroom. Staff lowered hot water and LPA re-measured hot water at 115.3 degrees F.

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

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