Facility Evaluation Report

On 11/7/2024 at 12:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Lorna Hayag and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 4/22/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.4 degrees F in the hallway bathroom. There were adequate lights in each room. First Aid kit is complete. LPA reviewed 6 clients and 3 staff files starting at 1:00PM. LPA reviewed a sample of client's medications. LPA interviewed 2 clients and 2 staff during inspection.

At 12:45PM, LPA observed unlocked vitamins in staff's room and unlocked gardening tools and insect killer granules in the backyard. Staff locked up the items during inspection.

At 12:50PM, LPA observed large amounts of vehicle tires, water heater, soil, toys, boxes of items were stored outside the storage shed and/or in the backyard.

At 1:30PM, LPA observed C2, C3, C5, and C6 does not have current IPP (Individual Program Plan) or ANS (Appraisal Needs and Service Plan) on file.

At 1:40PM, LPA observed C6 does not have TB test on file.

At 1:50PM, LPA observed S2 and S3 does not have TB test on file.

At 2:30PM, LPA observed facility did not conduct disaster drills every three months.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code . Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.