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 Administrator (AD) Claudia Ramirez and House Manager Desiree Sales.

During this visit, LPA toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required furnishings and lighting. LPA observed required items in bathrooms with hot water measuring 107 degrees in the resident bathroom. LPA observed hygiene items, towels, extra bedding, and linens which were stored and available for use. The kitchen was observed to be clean, in good repair with necessary items and appliances. LPA observed required food supply and paper products. Knives, cleaning/disinfecting supplies and chemicals were locked are stored separate from food. Doors and passageways are unobstructed throughout the facility including outdoors. Medications are centrally stored and locked. A First aid kit contained required items. Facility has multiple visitation and common areas available. LPA walked the outdoor areas to find the grounds to be well kept with walkways and sitting areas. There is an inground pool surrounded by a gate which was locked. Fire extinguishers were serviced and charged on 5/14/24 by American Fire Safety Co. Combination smoke and carbon monoxide detectors were tested. LPA reviewed fire and Emergency Drill logs. LPA conducted resident and staff file reviews including a medication audit. Required postings were observed throughout the facility. Emergency Disaster and Infection Control Plans were reviewed during the inspection.

A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 809-D in the areas of: Functional Capabilities Assessment

See LIC809C for continuation of this report