Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at San Benito House for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Caregiver #1, Catherine Karanja and was granted access into the facility. Upon arrival, LPA was checking background clearances and learned via Guardian that Caregiver #2, Donna Joson (See LIC 812) is not background cleared nor associated to the facility (See LIC 809D-Civil Penalty Assessed) . Caregiver #2 departed from the facility at 09:49 AM.

LPA and Caregiver #1 toured the facility and found facility to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 7/22. First aid kit was inspected and found to be appropriate. Facility smoke detectors and carbon monoxide were tested and are working properly during this inspection. Hot water temperature measured 111 degrees F in 2 out of 2 client’s bathroom faucets which is within Title 22 acceptable regulation of 105 to 120 degrees F. Toxins are stored in a locked closet in the laundry room. Dangerous items were stored inaccessible to develop disabled clients. There was a supply of cleaners, hygiene products and paper products available for clients. The bathrooms designated for clients at the facility were supplied with individual towels; hand soap dispenser was available. There was a supply of perishable and non-perishable foods as required by Title 22 regulation. Food menu was available and visible on the refrigerator. All five client’s bedrooms have lighting and appropriate furnishings.

LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Facility has PPE. Staff have had all PPE training required and have been N95 Fit tested in April 2022

LPA requested the following documents to be sent to CCL: (Report continued on LIC 809C)