Facility Evaluation Report

On 7/25/22 at 10:40 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA was greeted by staff and granted entry. LPA met with Administrator Jessica Delgadillo.

Facility was observed without any obstructions or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed the month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Residents files have updated emergency contact information. Administrator certification is valid.

1. LPA found that the hall bathroom bathtub bottom coating was peeling off in a central area of approximately 36" by 16" and the underside of the non-skid mat observed with mildew and soap scum.

Deficiency is being cited based on LPA observations conducted in accordance with the California Code of Regulations, Title 22, see LIC809D.

Exit interview was conducted. A copy of this report and appeal rights were given to Administrator Jessica Delgadillo, whose signature confirms receipt of this report. Plan of Correction made with Administrator.