Facility Evaluation Report
On 04/05/2023 11:00 AM Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct Post-Licensing inspection visit. LPA met with staff S1 and disclosed the purpose of the visit. S1 called Licensee Mynette Boykin who arrived at 11:40 AM.
LPA and Licensee toured facility inside and outside.
Facility had a 2-day perishable and one week non-perishable food supply.
3 deficiencies triggered comprehensive inspection :
Type A: 87303(e)(2) - hot water at 136 degrees F
Type B: 87466 - resident progress notes are not being maintained at facility.
Type B: 87307(a)(2)(B) - Staff S1 and S2 residing in facility in living room
Inspection incomplete and will be continued at a future date.
Exit interview conducted with staff S2. Copy of this report provided via email for Licensee.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction