Facility Evaluation Report

On 10/28/2024, Licensing Program Analyst (LPA), M. Medina conducted an unannounced Annual Required visit. LPA arrived, introduced self, stated purpose of visit, and allowed entrance by Caregiver. Licensee/Administrator was on site at time of LPA arrival. Licensee, Winigelda Ogletree also serves as facility Administrator, certificate #7034342735, expires 10/09/25.

Facility observed to be well lit, odor free, and a comfortable temperature. Currently, six (6) residents in care, all residents observed to be present at time of inspection. Facility is a 3 bedrooms, 2 bathroom home. All bedrooms are shared rooms. Living room area and dining room area observed to have adequate seating for residents. Kitchen toured, facility observed to have a 2-day of perishable available, however LPA did not observe a 7-day of non-perishable food available. Additional refrigerator/freezer are stored in the garage for facility. Knives observed to locked and secured near stove. Resident bedrooms toured and observed to have all required furnishings. LPA observed R1 and R2 beds to have half bed rails in place and no physician order. Resident bathroom toured and observed to have grab bars. Shower area observed to have grab bars, non-skid mat, and shower chair available. Water temperature measured at 107 degrees F.

Carbon monoxide and smoke detectors present and observed operational during inspection. Fire extinguisher present with a service date of 4/23/2024. All chemicals observed to be locked and secured in laundry room.

Outside of facility toured. All exits open free of obstruction. No hazards observed. Facility observed to have shaded area with seating available outdoors. Storage shed observed to be locked and secured.

Based on today's observations and per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 809-D. If not corrected, this poses a potential risk to the heath, safety and or personal rights of residents in care. An exit interview was conducted with Administrator and a copy of this report and appeal rights were discussed and provided via email with a read receipt as proof of delivery.

To improve the quality and value of the inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. Note: The intent of the Facility Licensee Feedback Survey is to provide CDSS with information regarding the CARE Tools and inspection process.