Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo arrived unannounced to continue the annual required inspection that was started on July 6, 2023. LPA was granted entry by Maria Manjare, staff. Ferdinand Gutierrez, administrator, arrived after several minutes. LPA informed the reason for visit. LPA also met with other staff, JulyFrancia Yambao.

On July 6, 2023, LPAs Delmundo and Fontanilla observed the following but LPAs were not able to issue citations due to technical difficulties/issues:

-facility's Theft and Loss policy not posted and no Complaint poster.

-broken window blinds and protruding cable wires in room # 2.

-no paper towel in dispensers in 2 bathrooms. According to staff, supply of paper towel for the type of dispensers ran out - at 12:02 pm, CALRes incontinence since and Pine Sol cleaning agent in the bathrooms.

-pieces of carpet, wood, metal, rolled carpet, piece of glass, fitted bedsheet in the side yard.

-mattress, window screen, hoyer lift, pieces wood, bedsheet, grinder in the backyard.

--residents' medications in the refrigerator. Medication Administration Record for May 2023 showed Insulin was administered by staff but not for June and July 2023; however, this medication was last filled 6/21/23.

- resident (R4) does not have records in the facility

-staff (S1) is not fingerprint cleared and associated to this facility.

-staff (S2 and S3) First Aid certificates on file expired 2018 and 2021.

-facility does not have file drill records. LPAs interviewed S3 who stated they don't do fire drill.