Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit to conduct a required annual inspection. LPA was greeted and granted entry by Staff Carlson Valencia. Administrator (AD) Luzvminda Brimbuela was contacted by phone and arrived at 9:15 a.m.

Facility is licensed for 42 ambulatory clients. Facility consists of 8 buildings. One building is for administration, one is an activity room and one is a multipurpose room. The 5 remaining buildings, or bungalows, are for clients. Each bungalow consists of one living room, two or three client rooms and a bathroom. LPA toured the kitchen and dining room and observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. LPA measured the water temperature in each bungalow. Temperature measured 109.0 degrees Fahrenheit to 119.8 degrees Fahrenheit. LPA observed and obtained a picture of at least one client bathroom tub and shower curtain containing mildew; a Deficiency was issued on today's date. All toilets and faucets were found to be operational LPA observed bedrooms had the required furnishings, linens, and blankets. LPA observed first aid kit in facility office and medication room had all the required elements. LPA observed facility menu and calendar in activity room. LPA observed medication room is locked and secured. LPA reviewed six client files, four staff files and conducted staff and client interviews. LPA tested carbon monoxide detector in each bungalow. Last disaster drill was conducted on 8/7/2023, and log was readily available for review. LPA observed fire extinguishers mounted and charged.

Based on the observations made during today’s visit, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.