Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced case management visit for a Health & Safety check. LPA was greeted and granted entry into the facility by staff.

LPA observed four residents in care and two staff present. LPA observed residents to be in clean clothes. LPA, conducted a tour of the physical plant. LPA observe 3 residents having lunch and 1 resident in the living room. LPA inspected the resident bedrooms and observed them to be free of hazards. LPA observed residents' bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed the lights in each of the resident bedrooms to be operational. The water and toilets in each of the resident bathrooms were operational. The hot water temperature measured 116.6 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the four burner gas stove in operation during the visit. Knives and sharps objects are kept locked in a kitchen drawer. LPA observed the facility has a three day emergency food and water supply stored in the garage. Facility has a spare refrigerator located in the garage with additional food supply. LPA verified carbon monoxide and smoke detectors were operational. Fire extinguisher was mounted on the wall of the kitchen with service date of August 13, 2025. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in the bedroom hallway. Cleaning/toxic chemical are kept locked in storage, garage is used for storage. LPA toured the backyard, there is a shaded seating area in the front yard and backyard for residents to sit. The exit gates are operational. No obstacles or hazards observed in the backyard. All staff present are background cleared and associated to the facility. No health or safety concerns were observed. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations. This report was reviewed with Administrator and a copy of this LIC809 was provided to the facility.