Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and Jerome Haley made an unannounced visit to conduct a case management in this facility. LPAs arrived at facility and were greeted and granted entry by Administrator Abdol Arastoo. LPAs explained the purpose of this visit.

LPAs conducted a tour of the facility which included random client's rooms, common areas and kitchen. LPA observed Administrator was on the floor and approximately eight clients in the common areas. LPAs toured the kitchen; it was observed that kitchen has a 2 day supply of perishables and 7 day non-perishable food available. LPAs observed the kitchen work areas were clean. LPA observed one staff was in the kitchen preparing dinner. Dinner was observed to be chicken pasta and vegetables. Vending and soda machines were observed but not operational. LPAs observed ample cleaning supplies as well as PPE. Facility has back-up supply of linens and towels. LPAs did not observe immediate threat on the safety of the clients in care. Facility does not have a covid sign in/ screening area in the facility. LPAs observed one restroom is under construction and administrator states working with a contractor to make improvements in the facility. LPAs toured select client rooms and observed the closet door in room A2 is in disrepair and has a hole in the door. Rooms 5A, A2, and 2 have walls that are soiled and have discoloration.

LPAs reviewed and obtained a copy the LIC500 Personnel Summary. AD confirmed that the LIC500 Personnel Report of today is current and up to date. AD verified that they have an open contract with staffing agency and has requested staffing from Monday to Sunday.

Facility was issued an advisory note during today's visit.

Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with Administrator