Facility Evaluation Report

Cypress House, Oakley10/26/2021Licence 079200856

Capacity4
Census4
Date signed10/26/2021 12:45:48 PM
The inspector’s account

On 10/26/2021 Licensing Program Analyst (LPAs) L. Ibo arrived unannounced to conduct case management visit in related to another visit conducted.

During the facility inspection tour, at 10:45AM LPA observed Fabuloso disinfectant cleaner accessible to clients in care, LPA informed the staff regarding the observation. Staff then locked the disinfectant cleaner.

Deficiency is cited from Title 22 California Code of Regulations (see 9099D). Failure to submit proof of correction (POC) by plan of correction due date and any repeat violations within 12-month period may result in civil penalties.

Deficiency and plan and proof of correction were discussed with Administrator.

Exit interview conducted. Appeal Rights and copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction