Facility Evaluation Report
Licensing Program Analyst (LPA) Darius Williams conducted an unannounced Post Licensing visit.
Living room had space to accommodate all residents. Thermostat reflected 71 degrees Fahrenheit.
Two bedrooms were observed that had two beds in each. Mattress (with required linens), night stand, chair, dresser, and working lights were present and operational.
One bathroom is available for resident use. Water was functioning and Non-slip strips and grab bars were available for use.
LPA reviewed 3 resident files. All 3 files did not have documentation of a Resident Appraisal. House Manager reported they utilize a Department of Health Care Services plan as their Appraisal. LPA informed them that the facility must conduct their own appraisal and will utilize the DHCS document as supporting information.
A deficiency is being cited on the attached LIC 809D.
An exit interview was conducted and a copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction