Facility Evaluation Report

On 4/7/2023 at approximately 10:25 am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to conduct annual required inspection. LPA met with Administrator Restituto Sabadera and explained the purpose of visit.

LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, dining area, kitchen and backyard. Hot water measured at 118 F. There was sufficient supply of perishable and non perishable foods.

During the visit, LPA observed the following:

1. at approximately 10:40 am, LPA observed injection, eye drops and other medicines unlocked in the refrigerator

2. at approximately 10:46 am, LPA observed mold on the kitchen window sills, dirty walls

3. at approximately 10:50 am, LPA observed grease on stove top, microwave , walls and refrigerator

4. at approximately 10:52 am, LPA observed dust, crumbs and other things on the floor

5. at approximately 1pm while conducting file reviews, LPA observed staff does not have current proof of training

6. at approximately 1:30pm, LPA observed facility does not have current proof of disaster drill

7. at approximately 2:30pm, LPA observed unused equipment, empty boxes, chairs, tables etc in the backyard

8. at 4pm, LPA observed resident is being given vitamin without doctor's order

The following deficiencies were observed (see LIC809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties.

Exit interview was conducted. Appeal Rights and a copy of this report was provided to Administrator .