Facility Evaluation Report

On 4/23/24, Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct a required Annual Inspection visit. LPA introduced herself, stated purpose of visit, and was allowed entrance by Licensee.

Facility capacity is 6 and the current census is 6. Facility has 6 bedrooms and 2 bathrooms. Two of the six residents share a room, all other residents have their own rooms.

LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathroom, and exterior. All fire exit routes were free and clear of obstructions. Medications are stored in a locked closest in the hallway. Toxins, cleaning supplies, knives and sharp objects are secured and inaccessible to residents.

Fire extinguishers have been services and are in good standing. Smoke alarm was tested and is in working condition. Carbon monoxide detector was tested and in working condition. Water temperature was checked in the kitchen and read at 114.4 degree Fahrenheit.

LPA reviewed a sample of staff files which were complete and update to date. LPA reviewed a sample of resident files which were complete and up to date.

No citations issued per the California Code of Regulations Title 22.

Exit interview was conducted and a copy of this report LIC809 was provided to Licensee Rhonda Davidson.