Facility Evaluation Report

On 3/25/24, Licensing Program Analyst (LPA) B. Miranda conducted a required unannounced Annual Inspection visit. LPA introduced herself, stated purpose of visit, and was allowed entrance by Staff Maria Christine Estamo. LPA introduced herself, stated purpose of visit, and met with Maria Christine Estamo.

LPA toured the facility inside and out to include entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. All fire exit routes were free and clear of obstructions. LPA observed facility to be clean, free from clutter, and odor free.

Medications are stored in a locked cabinet and inaccessible to residents. Centrally stored medication log was not correctly maintained, deficiency was citatied per California Code of Regulations Tittle 22. Toxins, cleaning supplies, knives and sharp objects are secured.

Facility has 5 bedrooms and 2 bathrooms. Currently resident’s do not share bedrooms. Facility has a capacity of 6 residents, but currently has 4 residents.

Fire extinguishers have been services as of 6/22/23 and are in good standing. Carbon monoxide detector was tested and in working condition. Water temperature was checked in the resident's bathroom and read at 107.3 degree Fahrenheit.

Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Maria Christine Estamo.