Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Joey Sarmiento and the purpose of the inspection was discussed.

During today’s inspection, residents were observed having breakfast consisting of egg, bacon, hash browns, and fruit. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. Water temperature tested at 106.3 degrees Fahrenheit. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and facility residents. During their interview, two of two staff stated they have been paid up to date, facility utilities have been and continue to be operational, and food supply is and has been maintained at a two-day supply perishable and seven-day supply non-perishable.

LPA conducted file review for one of one resident files previously not available for review and observed file to be complete. Deficiency cited under Title 22 Regulation 87506(a) pertaining to Resident Records has been CLEARED as POC was met.

At approximately 9:25 a.m., LPA spoke with Administrator (AD) Heddy "Girlie" Oysen by phone, who stated Liability Insurance has yet to be obtained. Deficiency cited under Health and Safety Code 1569.605 pertaining to Liability Insurance has not been cleared, as Licensee did not comply with POC. CIVIL PENALTY IS BEING ASSESSED.