Facility Evaluation Report

Licensing Program Analyst made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with the Administrator Albert Dahbour. LPA explained the reason for the visit. LPA observed the See Something, Say Something sign mounted in the entry way of the facility is 8 1/2 by 11 inches in size. LPA toured the facility. LPA observed that the 3 car garage is now a 2 car garage. The area that was for the third car has been converted into 3 rooms. The first room closest to the door leading into the dining room has office furniture and a mattress. The second room has two twin beds set up in it. The third room has a mattress leaning on the wall in it. The facility sketch mounted in the entry way of the facility shows the garage but not the 3 rooms. The rest of the garage is used for storage. Smoke detectors and the carbon dioxide detector tested operational. The fire extinguisher mounted in the dining room is fully charged. 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. LPA observed knives are kept locked under the kitchen sink. LPA and the Administrator toured the resident bedrooms. All resident bedrooms were clean and organized. All the resident bedrooms had the required furniture and bed linens. LPA observed all 4 bathrooms are clean and operational. Hot water measured from 113.0 degrees Fahrenheit to 115.1 degrees Fahrenheit in the bathrooms. LPA observed medication is kept locked in a cabinet in the dining room. LPA and the Administrator toured the backyard. No bodies of water observed. There is a table with and umbrella for shade and 4 chairs for residents to sit outside. The exit gate is operational. No obstacles or hazards observed in the backyard. LPA reviewed 6 resident files and medications. No discrepancies observed. LPA reviewed 2 staff files, no discrepancies observed. Both staff members had the required 20 hours of annual training. Both staff members had current CPR training. LPA observed the facility has WiFi and a tablet for resident use. LPA interviewed staff and residents. No obstacles or hazards observed inside the facility. Deficiencies are being cited per title 22 Division 6 of the California Code of Regulations on the attached LIC 809D. An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.