Facility Evaluation Report

Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator (AD) Sheenal Prasad, Continual Administrator's Certification expires 05/08/2026. There are currently 10 residents who reside at this home and there is 4 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, and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable.

Fire extinguishers were serviced on 9/12/2025. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 112 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies have designated, locked cabinets, inaccessible to residents. LPA reviewed 3 resident files, and 3 staff files.

The area outside of the Room 6 exit is not used by residents, but is used for storage and as an emergency exit. The are outside of the Room 6 exit has two storage sheds that do not contain any hazardous items. LPA observed a large amount of discarded items, such as old wheelchairs, a broken dresser, and various miscellaneous items intended to be disposed of, in the area. The deck outside of the door was 80 percent full with items that were intended to be disposed of as well.

LPA found an open bottle of PineSol in the men's shower, which is not a locked area.

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