Facility Evaluation Report

On 03/01/2024 at 12:30 PM, Licensing Program Analyst (LPA) A. Gomez conducted a Health & Safety inspection as a result of a priority 1 complaint. LPA met with Administrator, Fathma Ansari 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 133.9 degrees F in the hallway bathroom. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Resident's medications were kept locked. Smoke detectors were in working condition. Carbon monoxide detector observe. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 02/10/2023. There are no accessible bodies of water observed. Indoor and outdoor passageways are free of obstruction.

The Following deficiencies were observed:

At 2:50pm during Facility tour LPA observed an unsecured sharps container with sharps in R2's closet

At 2:52pm during facility tour LPA observed the hot water temperature at 133.9 degrees Fahrenheit.

LPA also administered a Technical Assistance for the fire extinguisher being recently expired.

The following deficiencies were 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.