Facility Evaluation Report

On this day at around 9:40 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection and met with Administrator Nicole Morales (Administrator certificate #6063810740 exp 8/25/24). LPA explained to Nicole the purpose of the visit.

During the visit, LPA inspected the facility inside and out including but not limited to resident bedrooms, bathrooms, kitchen, dining area, garage and backyard. There was sufficient supply of perishable and non perishable foods. The facility room temperature was observed set at 72 Fahrenheit. Hot water temperature measured at 107 Fahrenheit. There was sufficient supply of linen, warm blankets, sheets and towels available for use of the residents. A fire extinguisher that appeared full and was last serviced on 3/15/2023 was observed. The facility has a first aid kit that appeared complete. The last fire drill was conducted on 12/27/2023.

At 10:35am, LPA reviewed 5 resident files and 4 staff files. At 1:50 pm, LPA interviewed 2 residents and 2 staff.

The following deficiencies were observed:

5 bottles of medicine unlocked on the table

ripped screen door, unused bed/wheelchair, recycles and other things in the backyard

Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted and Appeal Rights was provided.