Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted a required Annual Inspection using the complete CARE Inspection Tool and met with Hector Gomez, Assistant Administrator. Also participating in today's visit was Stephen Manalo, Administrative Assistant. The reason for today's visit was explained.

The facility is a 2 story, large commercial building consisting of bedrooms number 100-125 (26 rooms) downstairs and bedrooms #201-203(3 rooms) upstairs, dining room, 2 common shower rooms and 2 half bathrooms downstairs and 1 full bathroom and a half bathroom upstairs. The facility is fire cleared for 58 NON-AMBULATORY residents.

The following domains of the CARE Inspection Tool were inspected on today's visit: Infection Control, Operational Requirements, Staffing and Food Service. Due to time constraints, the remaining domains will be reviewed on a return visit. A visit to the skilled nursing facility located next door was toured at 2:55pm to review the food supply.

Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 1 and 6.

Any deficiencies not cited on today's visit will be addressed on the return visit.

Exit interview was conducted, Appeals Rights discussed and a copy was provided.