Facility Evaluation Report, 07/27/2023 — Angie's Home, Fullerton CA

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by a client due to staff being asleep. LPA knocked on the staff bedroom door several times before receiving a response. Staff Kendrick Ho answered the door and stated they had been sleeping. LPA discussed the purpose of the inspection and began inquiring about the clients present and their care needs. Staff Ho was unable to answer LPA questions and contacted Administrator (AD) Don Ho by phone. AD stated they were at the Social Security office, and they had been waiting for an extensive period of time. LPA informed them staff currently present was unable to answer LPA’s questions. AD arrived at 12:30 p.m. and stated staff is ”new” and they “don’t know”; a Deficiency was cited on today’s date.

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

This is a one-story house with four client bedrooms, two bathrooms, and one staff bedroom. All client bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The back yard has a shaded sitting area. LPA observed one staff and four clients present. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 132.2 F degrees; a Deficiency was cited on today’s date.

Upon request a facility register of clients was not available; a Deficiency was cited on this date. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted in the living area and at the entrance of the facility. Food menu was also posted and visible. 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. (Cont. LIC809-C)