Facility Evaluation Report
On 06/18/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with staff Cristy Bungay, administrator was notified and arrived shortly. certification number 6075293740 and expiration date 02/17/2027. LPA conducted tour inside and out of facility with staff. Residents observed at the facility resting before dinner time.
The facility was observed to be at a comfortable temperature of 72 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 01/22/2025. Last fire drill recorded on April 20th, 2025
Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week on Thursdays. Refrigerator temperature was maintained at 35-degree F. and freezer was maintained at 0-degree F. The facility comprised of one level section. Census during visit is four residents.
LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 117 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area.
Medications were stored in a locked medication room. Medications records were reviewed. First Aid Kit was stored in medication room and observed with all required items. LPA toured laundry room and observed chemicals were stored and locked in for staff use only. Facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents.
LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents files requested and reviewed during the inspection visit.
No deficiency were cited during this visit. Exit interview conducted, report signed and copy of this report provide to administrator for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction