Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Mary Flores conducted a plan of correction visit (POC) to follow up deficiencies given on 10/25/22. LPA Flores met with Stella Ruffins Assistant Administrator and explained the reason for the visit.

On 10/25/22 LPA Flores conducted an unannounced annual visit and noted the following deficiencies:

Section CCR 80087(a)(1) Building and Grounds -. During the visit on 10/25/22 LPAs observed bedbugs in room #4(R4). On 11/7/22 LPA observed beds in R4 have been removed and change. Assistant administrator has done 2 quotes to obtain service. An extension has been requested by the Assistant administrator to sign a contract, and receive first service by 11/28/22.

Section CCR 80088(d) Fixtures, Furniture, Equipment, and Supplies -. During the visit on 10/25/22 LPA observed light fixture in bathroom #3(B3) was not in working. On 11/7/22 LPA observed a sensor light was installed. Deficiency cleared as of 11/7/22.

Section CCR 80088(e)(1) Fixtures, Furniture, Equipment, and Supplies -. During the visit on 10/25/22 LPA tested water temperature in bathroom #2(B2) at 73.0 degrees F., which is not within the required 105-120 degrees F. On 11/7/22 water temperature was tested at 108.5 degrees F., which is within the required 105 - 120 degrees F. Deficiency cleared as of 11/7/22.

Section CCR 85087(a)(3) Building and Grounds - . During the visit on 10/25/22 a bed was observed in dining room for staff. On 11/7/22 LPA observed the bed in dining room which per the assistant administrator is being used as a sofa. No pillows and no personal items were observed in the bed. Deficiency cleared as of 11/7/22.