Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Administrator (AD) Evelyn Encarnacion and explained the purpose of the inspection.

During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, and observed the following:

This is a one-story apartment complex with 23 client bedrooms and 7 bathrooms. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. The courtyard has a shaded sitting area. LPA observed clients socializing in common areas and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature tested between 106.5-120.7 degrees Fahrenheit.

LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers are located in every facility hallway and were observed to be fully charged with a service tag dated July 1, 2024. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to clients. Medication was observed to be centrally stored in a locked medication cart.

Assistant Administrator Jerel Encarnacion arrived at approximately 1:00 p.m. to assist with the inspection. LPA reviewed six client files and three staff files. Two of six client medical assessments did not include results of examination for TB; a Deficiency was cited on today’s date. LPA interviewed six clients and three staff.

Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.