Facility Evaluation Report

Licensing Program Analysts(LPAs) Alviso and Coppo arrived unannounced to conduct a Required -1 Year visit, at approximately 10:00am on 8/22/23, and met with Licensee Rose Salgado. There are currently six(6) clients in care; Three(3) clients are at day program.

Facility is fire cleared for six(6) ambulatory clients. Facility has an emergency disaster plan as required. Facility has an infection control plan as required.

LPAs toured the facility with the Licensee. LPAs observed that there was a sufficient supply of food. There was a sufficient supply of cleaning products, paper products, and personal protective equipment(PPE) for use as needed. All exits were cleared. The following deficiencies were cited:

LPAs' observed medication cabinet opened due to the lock being loosly put on it, not being set and locked; LPA could see medications and reached in and took medications out of the cabinet right through the loose lock device on the cabinet. LPAs observed numerous over the counter medications in a room occupied by a tenent of the Licensee. These medications were also available to all residents in care. This deficiency will be cited, 80075(k)(1) Health Related Service - Medication shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication, see LIC809D.

LPAs observed that the facility fire extinguisher was not serviced and tagged as required, it expired 8/5/23, this deficiency will be cited, 80020(a) Fire Clearance -All facilities shall secure and maintain a fire clearance approved by the city or county fire department, the district providing fire protection services, or the State Fire Marshal, see LIC809D.