Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Marin made an unannounced required annual inspection to this facility. Via phone, LPA spoke with Administrator (AD) Jacqueline Lara and stated the purpose of this visit.

After completing the Coronavirus 2019 (COVID 19) screening procedure, LPA Marin was granted entry in the facility. This facility is a two-level structure and licensed for six ambulatory For this visit, LPA observed five clients in care and three staff members on the floor. Three client’s shared rooms are located on the upper level. Rooms were provided with furniture in good repair, clean linens and kept free of tripping hazards. Smoke and carbon monoxide alarms were tested to be operational. Medication and office room is located also in the upper level and rendered inaccessible to unauthorized access. Common bathroom in each level was provided with water fixtures and observed to be in good repair. Hot water was measured at 120 degrees Fahrenheit. On the ground level are the common areas and provided with furniture in good repair. Facility met the minimum 2-day perishable and 7-day perishable food stock requirements. Personal protective equipment were observed to be in place. For the exterior portion, facility had a pool feature enclosed by steel fence system and rendered inaccessible to clients in care. Outside furniture were provided and observed to be in good repair. Grounds were free of tripping hazards.

For this visit, LPA Marin observed the following deficiencies ; and issued citations per Title 22 Division 6 of the California Code of Regulations:

At 9:51 AM, LPA observed unlocked under-sink cabinet containing partially filled containers of hand and dishwashing soaps, and cleaning supplies.

At 9:53 AM, LPA observed a flank of wood (about 3 feet in length and 1 foot in wide) placed over the track of the sliding door. This piece of wood prevented the sliding door from opening. The dining sliding door was identified as an exit in the posted evacuation plan.

At 10:08 AM, LPA observed a broken window screen panel off the window in Room No. 2

At 10:20 AM, LPA observed that each client’s bed in Room No. 2 was missing a box spring.