Facility Evaluation Report

On 2/13/2025 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Karen Sangco and explained the purpose of the visit.

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. Smoke detectors are interconnected with sprinklers system. Fire extinguishers were observed to be full and last serviced on 1/7/2025. One week of non-perishable and 2-day perishable food supplies were sufficient. Hot water temperature was measured at 112 degrees F in the hallway bathroom sink. All client bedrooms, bathroom, and living room have automatic hoyer lifts installed. Medications were locked in a medication cart. First Aid kit is complete. No bodies of water observed. Indoor and outdoor passageways were free of obstruction. Last disaster drill was conducted on 1/4/2025.

LPA reviewed 3 clients and 3 staff files starting at 10:40AM. LPA reviewed client's P & I money with logs. LPA reviewed a sample of client's medications during inspection.

At 11:30AM, LPA observed C2 does not have admission agreement on file.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties.

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