Facility Evaluation Report

On 12/26/2024 at 1:40PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Mohini Lata and explained the purpose of the visit. Administrator/Licensee, Vimal Chand arrived 3 hours later.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 5/10/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water was measured at 105.8 degrees F in the hallway bathroom. There were adequate lights in each room. First Aid kit is complete. LPA reviewed 4 clients and 2 staff files starting at 3:00PM. LPA reviewed a sample of client's medications. LPA reviewed client's P&I money with log. LPA interviewed 1 client and 1 staff during inspection.

At 2:30PM, LPA observed pool gate was unlocked and the combination lock has the combination taped onto the lock. LPA was able to open the lock with the combination provided which is accessible to clients. Civil penalty of $500 is being assessed.

At 3:45PM, LPA observed C4's file was incomplete.

At 3:50PM, LPA observed C1, C2, and C3 does not have current IPP or appraisal needs and service on file.

At 4:30PM, LPA observed facility did not conduct quarterly disaster drills.

At 5:30PM, LPA observed C3's P&I log was calculated incorrectly.

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

Exit interview conducted. A copy of this report, civil penalty, and appeal rights was provided.