Facility Evaluation Report

On 1/9/2024 at 12:40PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Program Coordinator , Ciara Vasquez. The facility’s fire clearance was approved for 20 non-ambulatory clients.

LPA toured the facility including but not limited to activity rooms, resting room, common areas, bathrooms, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 9/22/2023. Clients bring lunches from home/residential facilities. Hot water temperature in the hallway bathroom was measured at 112.4 degrees F. All observed toilets and hand washing stations are maintained in a safe, sanitary, and operating condition. There are no bodies of water observed. First aid kit was complete.

LPA reviewed 3 clients and 3 staff files starting at 1:20PM. LPA interviewed 3 clients and 3 staff starting at 2:00PM.

At 1:09PM, LPA observed unlocked cleaning supplies under the bathroom sink. Staff locked up the cleaning supplies during inspection.

At 1:30PM, LPA observed facility does not have medical assessments (LIC602) for C1, C2, and C3 on file.

At 3:30PM, LPA observed facility does not have disaster drill documents on file.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.