Facility Evaluation Report

On 05/01/2023, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Alicia Motts and explained the purpose of the visit.

LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. LPA observed the facility to be clean, in good repair and odor-free.

Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA observed each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed each bedroom to have all the required furnishings, working lights and windows with screens.

Facility has a 2-day perishable and a 7-day non-perishable amount of food. Hot water temperature was measured at 115 F. LPA observed one (1) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the need for an updated emergency disaster plan. LPA observed emergency disaster drills conducted quarterly.

LPA reviewed a total of four (4) residents' files and three (3) staff files. Resident files contained all of the required documentation. Two staff files missing a completed Health Screening Report, and one staff file missing a TB clearance.

Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A copy of this report, LIC 809-D, and Appeal Rights were discussed and provided.