Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct a case management visit at 2:30pm. LPA was greeted and granted entry by Staff #1. The Administrator was not available at time of visit.

LPA conducted a health and safety check of one resident in care. The resident was observed to be clean, clothed and fed and was watching a boxing match on television. Upon interview, resident said they had no complaints and that everything has been fine.

LPA interviewed staff regarding care provided. The staff member was making preparations for dinner. LPA observed the kitchen and all appliances were in working order, the gas stove was being used to cook and the refrigerator was filled with more than two days of perishable items. A seven day supply of non-perishable items were also on hand.

While touring the facility, all utilities were in working order and include: electricity, water, gas and phone/cable/internet. Staff are being paid in a timely manner.

Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was not conducted since Administrator/Licensee was not present. A copy of the report was provided to the facility.