Facility Evaluation Report

On 05/17/24 Licensing Program Analyst (LPA) Mario Leon conducted a required annual inspection using the CARE Inspection Tool. California Department of Social Services was greeted by staff one Licensee, Jovan Iglesias (S1) and the purpose of the visit was explained. As a part of the inspection, LPA reviewed all 5 client service records. One (1) resident did not have an updated physician's report and one (1) resident did not have any physician's report. One deficiency has been cited. LPA inspected the inside/outside facility grounds along with S1.

This home consists of 4 client bedrooms and 3 client bathrooms, living room, kitchen, dining area, activity room, laundry area and patio. There were 5 residents present during the inspection. There were adequate perishable and non-perishable food supply were kept at the home and fully stocked in kitchen cabinets. LPA reviewed facilities' 5-year fire sprinkler system report, noting all fire equipment are working properly. During the inspection, LPA observed the following client rooms: mattresses and box springs in working condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. LPA observed additional stocked bedding and towels in closets. All bathroom fixtures are in working condition. Water temperature properly measured at 116.7°F (degrees F) in bathroom #1. Showers were free of mold/mildew, adequate lighting, and sufficient toiletries were accessible to clients. LPA observed sufficient bedding, linens, and walls and floors were clean and in good repair.

During today's visit, there has been one (1) deficiency cited. Please see LIC809-D.

An exit interview was held with Jovan Iglesias and a copy of facilities' appeal rights and this report have been provided.