Facility Evaluation Report

On 7/21/23 at 9:06 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and met with Case Manager Lupita Velasquez. Administrator (ADM) Latisha Albritton arrived a short time later.

LPA toured the facility and did not observe any obstructions. Facility does not use outdoor space for clients. Facility was set at a comfortable temperature. Chemicals observed inaccessible in storage closet. Fire extinguishers all serviced 3/17/23. Facility has an installed pull station fire alarm. Centrally stored medication observed locked in kitchen cabinet. A sample of staff and client records were reviewed. Hot water measured at 113.8 degrees F in the south women's restroom and 114.1 degrees F in the north women's restroom. Hand sanitizer was readily available.

The following deficiencies were observed:

1. LPA observed a spray bottle of cleaner in the storage drawer cart in the south women's restroom; and Blender blades observed accessible in blender on the counter and in the dish rack.

2. Facility does not have carbon monoxide detectors.

3. ADM's health screening does not indicate whether ADM has good physical health.

Deficiencies are being cited based on LPA observation, interview conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted and Plans of Corrections were reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and left with Administrator, whose signature on this form confirms receipt of these documents.

The following updated documents are to be submitted within 2 weeks:

LIC308, LIC500, LIC9020, LIC610D (new revision), Copy of current Plan of Operation, updated facility sketch (floor plan)