Facility Evaluation Report

On July 28, 2025, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Anthony Faulkner, and explained the purpose of the visit.

LPA and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. Areas toured include but are not limited to: common areas, resident bedrooms, common restrooms, and courtyards. LPA observed all resident bedrooms to have all the required furnishings. LPA observed the kitchen to be clean and organized. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed all sharps to be stored in the kitchen which is kept locked with a code. The facility has a daily menu and calendar of events which are posted for residents to view.

LPA observed three fire extinguishers which were last inspected in May 2025. LPA observed three smoke detectors and four carbon monoxide detectors which were last inspected in July 2025 and found to be in working order. LPA observed the facility disaster logs and found the facility to be conducting drills quarterly. LPA observed the first aid kit was was complete and ready for emergency use.

LPA reviewed a total of four residents' files and four staff files. One of four resident files were missing record of a tuberculosis test. One of four staff files was missing first aid certification. Two of four staff files were missing record of a tuberculosis test and one staff file was missing record of a LIC 503 (Health Screening).

Deficiencies were cited from Title 22 Regulations and or the California Health and Safety Code.

An exit interview was conducted and a copy of this report, LIC 809-D, and Appeal Rights were discussed and provided to Anthony Faulkner, Administrator.