Facility Evaluation Report, 06/21/2022 — Ever Care, Laguna Hills CA

Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced required annual inspection focusing primarily on the Infection Control. At 12:15 pm, LPA was greeted and granted entry by Caregiver Eugene Dulatre after completing the Coronavirus 2019 (COVID-19) screening procedure. As of today, there are no active COVID-19 cases in the facility. Facility screens temperature for all visitors on a sign in sheet prior to entry. LPA observed the required COVID-19 precautionary signs posted by the door of the main entrance and around the facility. Tthe PUB475 See Something, Say Something poster was observed by the entryway in the size of 8.5"x11," and the Administrator's Certificate for Shahin Mokhtarzad expires on 11/20/2023.

Around 12:28 pm, LPA toured the interior and exterior portions of the facility with Caregivers Dulatre and Michael "Milo" Reyno. The Administrator (Admin) Shahin Mokhtarzad arrived at the facility around 12:35 pm and assisted with the tour. The facility is a single level structure and licensed for six non-ambulatory residents; and has a hospice waiver for two. Currently, there a total of six residents in the facility of which one is in hospice care. Facility appeared clean and sanitary in all areas observed. All five bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke, carbon monoxides, and auditory exit alarms tested operational. The restrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats. Hot water measured at 122.9 degrees Fahrenheit in Restroom #1; 120.9 degrees Fahrenheit in Restroom #2; and 118.2 degrees Fahrenheit in Restroom #3. LPA observed hand washing signs, paper towels, and hand soaps in all three restrooms. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications, cleaning supplies, and sharp items were inaccessible to the residents in care. The fire extinguisher was charged and mounted in the kitchen/dining room.