Facility Evaluation Report
Licensing Program Analyst (LPA) Galarza conducted an unannounced Required- 1 year visit. The purpose of the visit was explained to caregiver Roberto Rios. Administrator Anna Khachatryan arrived shortly after. There are currently 5 elderly residents 60 years and older residing in the facility. The following 12 Care Compliance and Regulatory Enforcement (CARE) tool domains were utilized during the inspection.
The facility has an Infection Control Plan & COVID Mitigation Plan. Supplies of Personal Protective Equipment (PPEs) were observed.
An Infection Control Plan has been added to the Plan of Operation.
The facility has a Dementia Waiver in place and an approved Hospice Waiver for 6 residents.
A fire clearance for 6non-ambulatory residents; of which 1 may be bedridden in room $4 is in place.
Liability Insurance in the amount of ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 5/30/2024.
An American Red Cross 1st Aid kit and manual are readily available.
No Surety bond is in place. Facility does not handle resident monies.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction