Facility Evaluation Report

Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a health and safety check on the residents at the facility. LPA was greeted and granted entry by staff and explained the reason for the visit. LPA toured the facility. LPA observed resident rooms have the required furnishings. LPA observed resident rooms are clean and organized. LPA observed resident bathrooms are clean and operational. Hot water measured at 113.9 degrees Fahrenheit. LPA observed the kitchen is clean and organized. LPA observed sufficient perishable and non-perishable food in the kitchen. LPA observed utilities on and operational. LPA observed five residents in the dining room having breakfast. Interviews with one out of one staff stated they are owed back pay.

LPA observed notification of the proceedings to revoke the license posted at the facility for review.

A deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. A civil penalty is being assessed for a repeat violation. This report was discussed with the facility representative and a copy was provided along with appeal rights.