Facility Evaluation Report

Licensing Program Analyst (LPA) B. Miranda arrived to the facility unannounced to conduct a case management visit to follow up on a report submitted by the facility on 10/19/2022. LPA announced the reason for the visit to S1. AD later arrived about 10 minutes later. LPA obtained the records of S3, R1, and R4. This matter requires further review. LPA will return at a later date for additional follow up if needed. No deficiencies were cited at this time. A copy of this report was provided to AD. LPA observed S1 & S2 on duty, R3 was watching TV, and R1 & R2 were in their rooms. LPA toured the facility; room temperature was at 71 degrees. Facility was observed to have 1 fire extinguisher & last serviced on 3/23/2022. The facility has enough perishable food for 2 days and nonperishable food for 7 days. Staff was washing residents’ blankets and sheets. Medication and knives were locked in closet. Extra PPE was observed. Health and Safety check today included overall safety of the facility including food supply, physical plant residents, and staffing. No deficiencies were observed pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted.