Facility Evaluation Report

Licensing Program Analyst (LPA) Mario Leon conducted an unannounced required 1- year visit using the CARE Inspection Tool. California Department of Social Services (CDSS) met with Social Worker Elizabeth Hernandez and explained the purpose of today's Annual Inspection. CDSS verified the facility has an approved mitigation plan report and infection control plan. The facility currently has 46 residents in placement. The facility is licensed to serve elderly residents aged 60 and above. The fire clearance is for 60 ambulatory and 36 non-ambulatory residents. CDSS verified five staff fingerprints that were cleared and associated with the facility.

The facility is a single-story business building located in a residential neighborhood. CDSS and Lead Maintenance Antonio Molina toured the facility's main office/receptionist areas, administrator office, medication room, nurse station, dining room, break room, kitchen, male and female's restrooms, public restrooms, activity room, laundry room located on the other side of the parking lot, patios, shaded area, and indoor/outdoor activity areas. During the visit bedrooms and bathrooms were observed. Documents have been diligently posted as mandated on the wall in the receptionist areas, nurse station, dining room, break room, and hallways. The following Title 22 regulated areas were audited and found to be in compliance: Bedrooms #52, #57/58/59, #37/38/39, #27 & #2 contain the required furniture, and bathrooms are clean and operational. Personal accommodations were observed for safety, privacy, and comfort, including the provision of non-skid surface mats. The kitchen was observed for its ability to prepare and serve food. The food service was reviewed for appropriate quantity and proper storage; there was an ample supply of perishable and nonperishable food. The resident’s medications were reviewed for proper storage, documentation, and PCC system implementation. Medications are securely locked in the medication room, records are current and up to date.