Facility Evaluation Report

On 8/12/2025 at 9:45AM, Licensing Program Analysts (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Executive Director, Eunice O'Farrell and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity room, kitchen, common areas, and outdoor area. Centrally stored medications were locked in different carts located in the med room. First Aid kit is complete. The facility has a written emergency disaster plan. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detector was observed. Fire extinguishers were observed to be full and last serviced on 1/13/2025. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food supplies twice a week. Freezer’s temperature was registered at -1 degree F while the refrigerator’s temperature was recorded at 39 degrees F. Grab bars and non-skid mat/materials were observed. LPA reviewed 5 residents and 6 staff files starting at 11:10AM. LPA reviewed a sample of resident's medications during inspection.

At 10:20AM, LPA measured hot water at 130.4 degrees F in a resident's bathroom. Staff lowered hot water and LPA re-measured hot water at 111.4 degrees F in the same bathroom.

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

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