Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced health and safety case management visit. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the visit, LPA toured the facility and observed the following: Facility is a one story home that appears clean, safe and sanitary. There are three residents present. LPA observed the residents relaxing in their rooms. LPA observed ample two day perishables and seven day non-perishables as well as ample emergency food and water. Utilities are operational and staff deny any interruption in services. LPA observed ample linens and hygiene supplies. Water temperature measured between 97.8 and 105.8 degrees F in facility restrooms. Smoke detectors are operational. Fire extinguishers are fully charged. LPA observed secured toxins and sharps as well as a first aid kit. Facility staff confirm payroll was delayed and are still owed wages. Facility does not have proof of current liability insurance.

No health or safety concerns noted during today's visit.

Based on observations and interviews conducted, Deficiencies are being cited, as per Title 22 Division 6, Chapter 8 of the California Code of Regulations.

An exit interview was conducted with Administrator and a copy of this report as well as appeal rights were provided.