Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Flores conducted a case management visit -health check during a complaint investigation visit on 2/17/22 due to deficiencies observed. LPA Flores met with Remedios Villanueva caregiver and explain the reason for the visit. Administrator Jeff Yang arrived 45 minutes later.

LPA Flores conducted a Health and Safety Check tour with Remedios Villanueva caregiver around 9:50am and observed the following: Kitchen has sufficient food for at least 2 days of perishables and 7 days of non perishables supplies. Medication prepared for the day in label ziplock bags and large scissors were observed in a kitchen drawer to the right of the stove with no lock. Ajax and bleach solution was observed under the sink without lock , lysol spray and cleaning solutions in hallway closet without lock . All bedrooms have sufficient lighting, furniture and bedding required. Each resident's bedroom was observed to have a video/camera monitor. Cameras were observed throughout the facility. Room #3 is currently under renovation. LPA observed PRN medication in bedroom #4 in resident's night stand. Water temperature was tested at 123.1 degrees F. in bathroom #1, tested at 119.8 degrees F. in bathroom #2, and tested at 120.6 degrees F. in bathroom #3 which is not within the required temperature. Smoke/carbon monoxide detectors were tested and in working condition. Fire extinguisher was observed on hallway wall by kitchen and bathroom #1 last checked on October 2021. Facility is following COVID recommendations. Pool was observed to have a 5ft fence.

Deficiencies were noted on LIC 809D per Title 22 Regulations Division 6 Chapter 8.

Exit interview was conducted with Jeff Yang and a copy of this report, LIC 809D, and appeal rights were provided.