Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Baabak "Bobbi" Sharifan and explained the reason for the visit. The Administrator's certificate expires on August 6, 2025. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entry way of the facility. LPA and the Administrator toured the facility. Facility is a single story home with an attached 2 car garage with 5 bedrooms, 3 bathrooms, kitchen, dining room and a living room with a fireplace. LPA observed the fireplace is screened. The fire extinguisher in the kitchen is fully charged. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. There is 3 day emergency food and water supply in the kitchen. LPA observed knives are kept locked under the kitchen sink. LPA observed the medications are kept locked in a kitchen cabinet. LPA and Administrator toured the resident rooms. 4 of the resident rooms are private and one is shared. LPA observed all resident rooms are clean and organized. All resident rooms had the required furnishings and bed linens. LPA toured the garage. The garage is kept locked and used for storage of extra supplies and food. Smoke detectors/carbon monoxide detectors tested operational. LPA observed all 3 bathrooms are clean and operational. Hot water measured 108.6 degrees Fahrenheit in all 3 bathrooms. LPA and staff toured the backyard. No bodies of water observed. There is a table with an umbrella and chairs for residents to sit outside. Both exit gates are operational. No obstacles or hazards observed in the backyard. LPA reviewed 5 resident files. 1 out of 5 residents did not have a current appraisal/needs and service plan. Resident 1 (R1) did not have a current appraisal/needs and service plan. LPA reviewed 5 resident medications, no discrepancies observed. LPA reviewed 2 staff files. No discrepancies observed. LPA inspected first aid kit. The first aid kit has all the required elements. Deficiencies are being cited per Title 22 division 6 of the California Code of Regulations. LPA consulted with Administrator concerning reporting requirements. An exit interviewed was conducted and a copy of the report along with appeal rights was provided.