Facility Evaluation Report

On 06/22/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct a case management visit. LPA was greeted by Staff S1, stated the purpose of this visit and was allowed entry into the home. LPA observed 2 residents in the home at the time of visit. House manager arrived to the facility a few minutes later.

LPA received an incident report stating Resident R1 had arrived at day program with moldy food in their lunch. Facility also self reported this incident. LPA interviewed R1, who stated the food was left over from the previous day, that was left in the lunch box. R1 stated they do not make their own lunches. Interviews with staff also state the moldy food in the lunch box was left over from the prior day's lunch.

LPA toured the facility and observed a 2 day supply of perishables and 7 day supply of non-perishables. None of the food observed in the facility was found to be moldy. LPA observed two cabinets with non-perishable food in the kitchen. The cabinets were observed to have padlocks. The padlocks were unlocked, however, they were observed to be hanging from the latches on the cabinet. S1 stated the locks are used during the night shift because residents get up in the middle of the night and eat.

Based on LPA's observation and interviews conducted and In accordance with the California Code of Regulations, Title 22, Chapter 6 Division 8, deficiencies are being cited on the attached LIC 809-D.

An exit interview was conducted and plan of correction was developed with House Manager with a due date of 06/30/23. A copy of this report and appeal rights were discussed and left with House Manager.