Facility Evaluation Report

On 6/17/2024, 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 Misty Veasey.

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 2/7/2024 and was fully charged. All common areas were properly furnished and well-lit throughout. Medications are locked in the storage unit in the office area. Sharps are kept in the cabinet in the kitchen. Smoke Alarm and Carbon Monoxide detector tested and operational.

LPA toured 3 resident rooms. Resident did not open 4 th bedroom door to allow tour. Toured bedrooms observed to be adequately furnished. Extra linens observed in the hallway drawers. LPA toured two bathrooms. LPA toured laundry area which appeared clean. LPA observed laundry soap to be left unlocked in the laundry area. First aid, tools and other items locked in cabinets next to laundry. Cleaning supplies and chemicals observed locked in the garage. The exterior tour was conducted. The backyard was observed to have sufficient. A covered area is provided during the summer. Both Backyard gate was self-latching and self-closing. Medication was reviewed. 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 6/14/2024. At 1:15 PM LPA observed during records review Centrally stored log was incomplete for 2 residents out of 3.

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