Facility Evaluation Report
On 08/15/2023 at 8:25 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection. LPA observed appropriate Covid-19 postings on the outside of the front door. LPA was greeted by Ariel Acorda and granted access. Ariel requested LPA sign in. LPA observed required postings along the entry wall of the facility. Staff #2 (S2) greeted LPA. Ariel called the Administrator Marfiebeth Topacio and notified Administrator LPA was at the facility. LPA explained the reason for the visit. Administrator could not meet LPA at the facility today due to a schedule appointment and designated staff Ariel Acorda to sign today's report.
At 8:30 a.m. LPA toured the physical plant of the facility, and the following was observed:
Kitchen/ Dinning area: Ariel was preparing breakfast for two (2) out of three (3) residents. One resident was already eating breakfast. Appliances and fixtures were functioning properly. LPA observed cleaning products kept locked in the laundry room by the kitchen. LPA observed knives locked in a kitchen drawer. LPA observed a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Dining area had appropriate table and chairs to sit the capacity of the facility. LPA observed one (1) of two (2) fire extinguisher fully charged by the kitchen with last serviced date of 03/23/2023 and a second fire extinguisher fully charged by a staff bedroom and one (1) resident's bedroom.
Living room: The living room was clean and properly furnished. Fireplace not in use secured with a screen.
LPA observed board games and books for residents use.
Bedrooms: LPA inspected five (5) out of five (5) resident bedrooms. Two (2) bedrooms are currently vacant and bedrooms are for private use. LPA observed each client room to be properly furnished with one bed, appropriate night stand, chair, bedding and with sufficient lighting and storage. LPA observed extra linens in a hallway closet outside the bedrooms. (Continued on LIC809-C)
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction