Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator John Ortiz and explained the reason for the visit. Facility is a 6 bedroom two story house with a living room, dining room, kitchen, 3 bathrooms and an attached 2 car garage. The second story has two bedrooms, family room and a bathroom and is off limits to residents. LPA observed the living room (entrance room for the facility) has the See Something Say Something Poster (PUB 475) posted. LPA and Administrator toured the facility. LPA observed the fireplace in the dining room is screened. LPA observed the resident rooms were clean and organized. Both bathrooms were clean and operational. Hot water measured 120.0 degrees Fahrenheit in both bathrooms. LPA observed all medications are kept locked in a closet. LPA and Administrator toured the kitchen. The kitchen is clean and organized. LPA observed all cleaning supplies and sharp objects are kept locked under the kitchen sink. LPA observed the stove lights unassisted. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Smoke detectors and the carbon monoxide detector tested operational. The garage is kept locked and used for storage. LPA toured the backyard. There is a covered patio with a seating area to sit outside. No bodies of water observed. The shed in the backyard is used for storage and kept locked. Both exit gates are latched and operational. No obstacles or hazards observed inside or outside of the facility. The First Aid kit has all the required elements. LPA reviewed 2 staff files. LPA observed 1 out of 2 staff did not have the required annual training (Staff 1). LPA reviewed 5 out of 5 resident files, no discrepancies observed. LPA reviewed 5 out of 5 resident medications and their medication administration records (MAR), no discrepancies observed. Licensee Mae Ortiz arrived at the end of the visit. LPA consulted with Administrator and Licensee concerning reporting requirements. Deficiencies are being cited per Title 22 division 6 of the California Code of regulations. An exit interview was conducted and a copy of the report along with appeal rights was provided.