Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA explained the reason for the visit. LPA spoke with Administrator/Licensee Mike Adams and informed him of the visit. Mike Adams stated he could not be present for the visit but would be available to answer any questions. LPA and staff toured the facility. LPA observed all resident bedrooms were clean and had the required furnishings. All smoke detectors/carbon monoxide detectors tested operational. LPA observed all 3 bathrooms were clean and operational. Hot water measured 120.0 degrees Fahrenheit in all three bathrooms. LPA observed the kitchen stove top cannot light unassisted. LPA observed the stove top and the vent above the stove top are not clean and have visible grease stains. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the knives are kept locked in a cabinet. LPA observed the medications are kept locked in a cabinet in the laundry room. LPA observed the cleaning supplies are kept locked in the laundry room. LPA observed the fireplace in the living is screened. LPA observed the PUB 475 see something say something poster is not posted in the entry way of the facility is not by 20" by 26" inches. LPA toured the backyard and garage. LPA observed the garage has beds and personal items next to the beds. LPA observed old furniture, boxes, wood, wheelchairs, walkers and chairs stored on the side of the garage and in the outdoor patio. The exit door from the backyard is latched and operational. LPA reviewed 6 out of 6 resident files. No discrepancies observed. LPA reviewed 2 staff files. LPA observed only 6 hours of training for both staff members and no CPR training for either staff member. LPA reviewed 6 out of 6 resident medications, no discrepancies observed. 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.