Facility Evaluation Report

At 12:00 p.m. Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA observed covid-19 signage posted outside the facility. LPA was greeted by a staff member and granted access to the facility. Staff did not screen LPA for covid-19. LPA met the Administrator Eva Calko and an entrance interview was conducted. The purpose of the visit was explained.

At 12:15 p.m., LPA initiated a physical plant tour. This is a four (4) bedroom two (2) bathroom Residential Care Facility for the Elderly. Sufficient PPE supplies were observed. The fire extinguisher has a date of service of April 13, 2022. Smoke detectors and carbon monoxide monitors were observed to be functional. LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. At 12:25 p.m., LPA observed sharps, cleaning supplies and medications unlocked and accessible to residents in care. Extra towels and linens were readily available. Bathrooms have soap, paper towels and trash cans with lids. Bedrooms are clean and have appropriate furniture. The backyard is clean, has various covered shaded areas. No bodies of water.

Deficiencies issued pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations. Exit interview conducted and a copy of the report was signed and delivered.