Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Panushkina and Licensing Program Manager (LPM) Nichelle Gillyard, conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20240606110421. LPA and LPM met with the Administrator and explained the reason for the visit.

During the visit, LPA and LPM conducted a physical plan tour and the following was observed:

Living room exit door was blocked with arm chairs and floor light. Moreover, bedroom #4 exit door was blocked with an oxygen concentrator.

Facility did not have a Oxygen in Use sign posted

Bedroom # 2 door did not require to have a screen, however, the facility implemented a magnetic screen to be able to leave the door open and prevent flies from coming in. LPA and LPM observed the screen was ripped and in poor repair.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D.

Exit interview conducted, appeal rights and copy of report signed and delivered.