Facility Evaluation Report
On this day at around 10:45 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA spoke with Administrator Victor De Leon on the phone to inform him about the purpose of visit. Licensee Imelda De Leon arrived at the facility at a later time.
During the visit, LPA inspected the facility inside and out including but not limited to 3 client bedrooms and 2 bathrooms. Carbon monoxide and smoke detectors were tested and observed operational. First aid kit was observed completed. Hot water measured at 106 degrees Fahrenheit. There were no bodies of water observed.
The following deficiencies were observed:
1. LPA observed C3 unable to ambulate independently
2. there was insufficient supply of nonperishable foods
3. floor was observed sticky, window in Room 4 dusty, has urine smell
Deficiencies are cited per Title 22 California Code of Regulations (see Lic 809D).
Exit interview was conducted with Administrator. Appeal Rights and a copy of this report were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction