Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Maria Moya and explained the reason for the visit. The facility is a two story home with an attached 2 car garage. The first floor has a living room, eat in kitchen/dining room, 3 resident bedrooms and two bathrooms. The second floor has 3 bedrooms and one bathroom. Residents reside on the first floor. LPA and the Administrator toured the facility. LPA observed the See Something, Say Something poster (PUB 475) poster posted by the front door. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Knives are kept locked in a kitchen drawer. Cleaning supplies are stored inaccessible to residents under the kitchen sink. The fire extinguisher in the kitchen is fully charged. LPA observed all the resident rooms had the required furnishings and bed linens. LPA observed both bathrooms on the first floor are clean and operational. Hot water measured 118.5 degrees Fahrenheit. LPA and the Administrator toured the second floor. No obstacles or hazards observed on the second floor. There was no emergency evacuation chair on the second floor. LPA and the Administrator toured the garage and the backyard. The garage is kept locked and used for storage. LPA observed emergency food and water stored in the garage. The backyard has two shaded seating areas to sit outside. No bodies of water observed. The exit gates on each side of the house are operational. No obstacles or hazards observed in the backyard. Smoke detectors/carbon monoxide detectors tested operational. The last emergency drill was conducted on October 10, 2024. LPA reviewed 4 resident files and medications. LPA observed 3 out of 4 residents (Resident 1, 2 and 3) did not have a current appraisal. No other discrepancies observed. LPA reviewed 2 staff files. Both staff members have the required training including CPR/First Aid training. No discrepancies observed. All staff present at the facility are background cleared and associated to the facility. LPA consulted with the Administrator concerning reporting requirements. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with appeal rights was provided.