Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Eduard Camacho, Lead Caregiver. During today’s visit, LPA met with Jean Camacho, Administrator.

The facility is a level 3 single story building with an approved fire clearance of six ambulatory only. The facility currently has a census of four clients in care.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 137.4 and 141.0 d egrees Fahrenheit. Staff adjusted water temperature of water heater which was recently replaced. Signs stating Caution: Hot Water were posted in both bathrooms. All smoke detectors were operational . The fire extinguisher is charged and was serviced on June 11, 2024. The facility has not conducted a fire and disaster drill in 2024. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . LPA observed medication storage and reviewed the centrally stored medications. Per review medication appear to be being given as prescribed.

LPA reviewed four of four staff training and fingerprint records. LPA conducted a complete review of client records. Client P&I records were reviewed and accurate. LPA interviewed alert clients regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on June 7, 2025.

The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with Jean Camacho, Administrator and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D, LIC 421-FC, LIC 9102-TV and Appeal Rights.