Facility Evaluation Report

On this day at around 10:05 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct an annual required inspection. LPA met with staff Estela Moscoso and informed about the purpose of the visit. Administrator Shirley Bordon was informed over the telephone and she authorized Moscoso to sign the report.

During the visit, LPA inspected the facility inside and out including but not limited to client bedrooms, bathrooms, kitchen, dining, garage and backyard. Hot water in the kitchen measured at 115 degrees Fahrenheit. There were no bodies of water observed. There was sufficient supply of perishable and non perishable foods. Three clients were observed at the facility. One client is currently out staying with family.

Medications were observed locked in a cabinet next to the kitchen. Fire extinguisher in the kitchen appeared full and was last serviced on 2/9/2023. Smoke detectors and carbon monoxide were tested and observed functional.

At 10:50 am, LPA with Moscoso reviewed P&I money and log. At 12:15pm, LPA reviewed 4 client files and 3 staff files. At 12:53pm, LPA reviewed medication and Medication Administration Record (MAR).

Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D).

Exit interview was conducted and Appeal Rights was provided.