Facility Evaluation Report

On this day Licensing Program Analysts (LPA) Alvaro Ramirez, Jr. made an unannounced Plan of Correction (POC) visit in conjunction with the Case Management and citations issued on March 04, 2025. LPA was greeted and granted entry into the facility by Administrator (AD) Olivia Hidayat. LPA explained the reason for the visit.

During today's visit, LPA also conducted a Health and Safety inspection. AD Hidayat has a current Administrator Certificate with the expiration date of September 6, 2026. LPA and AD conducted a toured of the facility and observed the facility has electricity, water, and gas. Water temperature tested between 105.2 and 108.8 degrees Fahrenheit. Client bedrooms were observed to have the required furnishings. Certificate of liability insurance was observed to be posted and current. The kitchen was observed to be clean and organized and a 2-day supply of perishable and a 7-day supply of non-perishable food was observed. Medications are kept locked in a cabinet and knives are kept locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins, and disinfectants were observed to be inaccessible to clients. Fire extinguisher was observed to be fully charged with a service tag dated March 12, 2025. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable.

On 03/05/25, Licensee failed to correct the following:

*Deficiency cited under Title 22 Regulation 80066(f) pertaining to Personnel Records (In all cases, personnel records shall document the hours actually worked) . As of 03/14/25, Deficiency cited under Personnel Records has been not been CLEARED; a Deficiency and Civil Penalty was issued today.