Facility Evaluation Report

On 09/08/2022 at 11:04 AM, Licensing Program Analysts (LPAs) C. Fowler and L. Alexander conducted a Health & Safety inspection as a result of a priority 1 complaint. LPA met with Administrator, Rose Onyeagocha and explained the purpose of the visit.

LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 114.4 degrees F in the hallway bathroom. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Facility grocery shops on a weekly basis. Resident's medications were kept locked in the medication closet. Smoke detectors are and in good working condition. Carbon monoxide detector observe. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 10/13/2021. There are no accessible bodies of water observed. Indoor and outdoor passageways are free of obstruction.

-At 10:14 am LPAs observed the knife drawer unlocked located in the kitchen.

-At 2:00 pm LPAs observed R1 passed away 1 year ago and the facility files were not fully retained and available

The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties.

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