Facility Evaluation Report

On 06/13/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit.

introduce self, stated the purpose of the visit and met caregiver John Quinto. LPA toured facility with caregiver. Licensee/Administrator David Murchison was called and arrived later during tour. All six residents were present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Medications were observed locked in kitchen shelf. MARs were reviewed. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 39 degrees F and freezer at 0 degrees F. Fire extinguisher was observed with a service date of: 02/2024. Cleaning supplies and chemicals stored and locked under kitchen sink. Dryer observed operational during inspection. All bedrooms were observed to have the required furnishings and with adequate lightening. The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 117 degree F in the bathroom 1 and 114.3 degree F in bathroom 2. Extra linens were observed. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for residents. Sample of residents’ and staff files were reviewed to have all the required documents.

A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22,

Exit Interview conducted. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of this report.