Facility Evaluation Report

On 9/18/2023, 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 Jose Marquez while administrator Bertha Marquez is on leave.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the living room was last serviced on 4/10/23 and was fully charged. At 10:38 AM LPA observed one living room window screen and resident room window screen to be bent. All common areas were properly furnished and well-lit throughout. Medications, First Aid, Resident/Staff files, and Sharp items locked in the first hallway closet.

LPA toured 4 resident rooms. All client bedrooms toured and observed to be adequately furnished. LPA toured laundry area which appeared clean. Cleaning supplies and chemicals are locked in the garage closet. At 11:06 AM LPA observed hallway Restroom to have a strong odor although restroom appeared clean. Extra linen and hygiene supply kept in resident’s bedrooms. The exterior tour was conducted. Backyard observed to have sufficient seating under patio. 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 9/4/2023.

Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22, Division 6.