Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Executive Director Jesus Soto. An initial application to operate a Residential Care Facility for the Elderly was received by CCL for a capacity of thirty eight non-ambulatory and thirty four ambulatory residents. Facility has a covid screening area in the entrance of the facility. LPA observed ample PPE supply in the facility.

LPA Lyman along with Executive Director toured the facility at 10:20 AM and observed the following:

Structure: Facility is a one story building with delayed egress exits specializing in memory care. Facility is "U" shaped around a courtyard. Facility has multiple activity areas as well as a beauty salon. Common Areas : Adequate seating is available for residents and visitors. Bedrooms Residents: Rooms are single and double occupancy. All rooms are equipped with appropriate lighting, furnishings and ample closet space. Bathrooms: All resident bathrooms have a working toilet/ wash basin as well as grab bars. Facility has sanitizer/ soap in the restrooms and disposable paper towels. Facility utilizes common shower rooms as well for residents. Linens & Hygiene Supplies: Facility has ample bedding and towels for residents in care. Emergency Phone Numbers and Exit Plan: Posted in entrance of facility. Food Service: Facility has ample 2 day perishables and 7 day non-perishables. Freezers and refrigerator temperatures are monitored daily and LPA observed documentation. Smoke Detectors: Carbon monoxide detectors tested operational during today's visit. Outside agency, Cal Building Systems, conducted the last smoke detector inspection on 08/03/2022. Fire Marshall conducted an annual visit on 12/01/2022 with no concerns noted. Fire extinguishers are mounted and charged. Appliances: Kitchen appliances as well as washers and dryers are clean and operational. Toxins / Sharps : Facility has toxins and sharps secured. Water Temperature: Tested and recorded between 112.6 and 120 degrees F. in facility bathrooms. Emergency Supplies: LPA observed ample emergency food and water in the facility as well as emergency supplies. Medications, First-Aid Kit & Book: Facility has multiple first aid kits which contained required items. Medication is stored and locked in medication carts. Facility uses an electronic medication record. CONT ON LIC 809C DATED 01/10/2022.