Facility Evaluation Report

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Designee/House Manager DeShawn Reed.

During this visit, LPA toured the facility inside & out. Resident rooms and common areas contained required equipment, furnishings and lighting. LPA observed required items in bathrooms which were clean with faucets delivering hot water LPA observed hygiene items, paper products, towels, extra bedding, and linens which were stored and available for use. The kitchen was found to be clean, with necessary items and appliances. LPA observed required food supply, emergency food, water, and paper products. Medications are centrally stored and locked in a kitchen closet. Cleaning/disinfecting supplies and chemicals are locked and stored separate from food. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kit contained required items.

LPA walked the outdoors to find the grounds well-kept with clear walkways with sitting areas. Fire extinguishers were found to be charged and serviced 7/18/24 by Jorgensen. LPA conducted resident and staff file reviews, P&I audit and medication review. Emergency Disaster and Infection Control procedures and plans were discussed during the inspection.

Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D.

An exit interview was conducted and Plan of Correction (POC) developed. A signed copy of this report and Appeal Rights were provided to Mr. Reed.