Facility Evaluation Report

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator, Emmanuel Inneh, Continual Administrator's Certification for Jennifer Inneh expires May 18, 2024. There are currently 33 residents who reside at this home and there is 0 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, garage and outdoor areas. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable.

Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector. Water temperature was tested at 121 degrees. LPA Hurt observed toxins and cleaning supplies in resident bathroom accessible to residents. LPA observed resident dressers broken, bedside lamps broken, bathroom vanities broken. LPA observed several small gnat like bugs in resident bathrooms. LPA Hurt observed several resident bedrooms without a mattress or with a warped mattress. LPA observed several resident mattresses with no sheets. LPA observed a large container with beans in the facility kitchen with a dead bug inside the beans. LPA observed facility resident bathrooms to be extremely dirty. LPA observed facility resident bathrooms with no paper towels or hand towels to dry hands. LPA observed fencing in the back patio area to be wobbly and broken, and a separate wood structure with old wet wood boards on it. LPA observed several resident closet doors to be broken. Facility staff could not provide proof of required disaster drills. The facility does not have a current activities calendar. LPA observed several window screens to be ripped and torn.

LPA Hurt will return on a later date to complete inspection.

The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22.

LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610 the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing.

Exit interview conducted with facility staff Emmanuel Inneh, and copy of report left at facility