Facility Evaluation Report

On this day at around 9am, Licensing Program Analysts (LPAs) Luisa Fontanilla and Alona Gomez arrived at the facility to conduct an annual required inspection. LPAs were met by LVN Thena Valenzuela. Administrator Mario Rodriguez arrived at the facility at a later time to assist with the inspection.

During the visit, LPAs inspected the facility inside and out including but not limited to client rooms, bathrooms, kitchen, garage, backyard. There were 5 clients, 2 LVNs and 1 CNA observed upon arrival.

The facility has an approved fire clearance for 5 non ambulatory clients. Multiple fire extinguishers that appeared full and has tag date of 2/5/2023 were observed. Carbon monoxide was tested and observed operational. The last inspection of smoke detectors was conducted on on 4/25/2023 by Hue & Cry Inc..

Last fire/earthquake drill was conducted on 8/22/2023. Generator was tested on 8/22/2023. First aid was observed complete.

At around 9:10 am, LPAs reviewed 5 client and 5 staff files. At 12:25 pm, LPAs reviewed P&I money and log. Facility has a bond in the amount of 11,000 which is sufficient to cover amount of cash being handled at one time.

The following deficiencies were observed:

at around 9:35 am, a box of medicines unlocked in the front area

at around 9:40 am, steak knife, hammer and thumb tacks unlocked in the kitchen

at around 9:50 am, one client room with screen window broken and with holes

at around 9:53 am, unlocked chemical in the backyard storage

at around 9:55 am, one client room missing a window screen