Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into the facility by staff and explained the nature of the visit. Asuncion Jacinto, Administrator and Anil Suresh, Licensee arrived shortly after and met with LPA.

LPA Martinez began the tour of the physical plant of the facility. There are five clients in care and there are no active Covid cases in the facility. During facility tour LPA observed one client in dinning room, three in the TV room watching a movie and one client in their bedroom. All clients appeared to be clean and well taken care of. Facility has a sign in/sign out procedure in place. LPA observed required department postings, Covid precautionary postings, and hand washing posting in the facility. The facility has an approved Mitigation Plan on file and has the required Emergency Disaster Plan. There is a minimum of one week of non-perishable foods and two days of perishable foods available. Facility has an emergency food and water supply on hand for use. LPA observed the facility to have a supply of PPE for use. The facility has a supply of hygiene, cleaning, and disinfecting products. All facility bathrooms observed to be functioning and have a supply of soap, toilet paper and hand towels. LPA toured the client’s bedrooms, all bedrooms observed to have all required components. Facility has a secure location for client’s medication, and it was observed that facility has a 30 day supply on hand. LPA toured the outside of the facility and observed a shaded seating area for clients use.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with the facility representative and a copy of this report was provided to the facility.