Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman and Andrea Mendivil conducted an unannounced health and safety case management visit. LPAs were greeted and granted entry into the facility and explained the reason for the visit.

During the visit, LPAs toured the facility and observed the following: Facility appears clean and sanitary. Utilities are functional during today's visit including electricity, gas and water. Residents are relaxing in their rooms or in the living room watching television. LPAs observed lunch service which included sandwiches and tater tots. LPAs observed two day perishables and seven day non-perishables as well as emergency food and water. LPAs observed there is uneven flooring in room 3 presenting a fall risk for residents (photo). Water temperature was tested between 130.4 and 130.8 degrees F in facility restrooms. Interviews with staff indicated the staff were still owed wages from their last paycheck and were unsure when the wages owed would be paid. Staff were unable to provide a copy of the liability insurance as requested.

Based on observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided.