Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Marin made an unannounced plan of correction visit in this facility LPA met with Administrator (AD) Abdul Arastoo; and stated the purpose of the visit.

During the required annual inspection initiated last February 25, 2022 and completed on March 10, 2022, deficiencies were observed, and citations were issued per Title 22 Division 6 of the California Code of Regulations (CCR):

CCR 80076(a)(1): February 25, 2022 visit, LPAs observed a unopened cauliflower package with formation consistent with molds was observed in the refrigerator. AD discarded the cauliflower. Immediate threat was reduced. As plan of correction the facility will assign a person to do a weekly check of the supply and ensure that they are in good quality. Facility will provide proof of written instruction to the staff and copy of the inspection. AD will provide proof of correction by March 25, 2022 - Proof of correction received by due date. Deficiency cleared by this visit.

CCR 80076(a)(14): On February 25, 2022 visit, LPAs observed uncovered food items left in the refrigerator. AD discarded the uncovered food items. Immediate threat was reduced. As plan of correction, facility will ensure all food items kept in the refrigerator and freezer are covered. Facility will create a daily temperature log for refrigerator and freezer. Facility will create cleaning schedule for freezer an refrigerator and log completed task. Documents and log reviewed during this visit. Deficiency cleared.

CCR 80072(a)(2): : On February 25, 2022 visit, LPAs observed that Client's personal belongings were scattered on the floor and room was shared with another client . AD directed staff to remove and clean up Room 2A. Immediate threat was reduced. As plan of correction, AD will review the needs and services plan of the client and address issues on hand. AD will document that cleanliness of the room is monitored. LPA inspected the room during this visit - Deficiency cleared.