Facility Evaluation Report

On 4/010/2024, Licensing Program Analyst LPA K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by Administrator Felecia Cooley.

LPA conducted tour with Administrator. The facility was observed to be at a comfortable temperature, clean, in good repair, with no passageway obstructions or fire hazards. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 3/1/2024 and was fully charged. All common areas were properly furnished and well-lit throughout. Medications, and Sharp items locked in the kitchen cabinet. Back up supplies in the hallway closet. Smoke Alarm and Carbon Monoxide detector tested and operational. LPA toured 3 resident rooms and an office. All client bedrooms toured and observed to be adequately furnished. Extra linens observed in the hallway closet. At 9:43 AM LPA observed laundry detergent on the washing machine unlocked. LPA toured laundry area which appeared clean. Cleaning supplies and chemicals observed locked in cabinet next to laundry. First Aid kept in cabinet in laundry room. The exterior tour was conducted. The backyard was observed to have sufficient seating. Covered patio provides sufficient shade. Medication was reviewed. At 11:21 AM LPA observed PRN medication was missing a time given for one resident. At Staff records were reviewed for good health and training, all clients’ records reviewed to have Admission Agreement, Physician’s Report and emergency contact information. Last fire drill completed on 3/10/2024.

Deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22,