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 met with Staff Yumi Lumuthang and the purpose of the inspection was discussed.

During today’s inspection, residents were observed socializing in common areas and resting in their respective bedrooms. LPA conducted a tour of the facility and observed utilities, including water, gas, and electricity to be operational. LPA observed a two-day supply of perishable and a seven-day supply of non-perishable foods. Interviews were conducted with two staff and two residents. Two of two residents stated they did not have any concerns. During their interview, one of two staff stated this is their first week of employment at the facility and are not yet due to be paid and one of two staff stated they are currently paid up to date. Per two of two staff, 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 observed notice of Department commencing proceedings to revoke the license of the facility posted in the entranceway.

Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared and will be re-cited as Licensee did not comply with the POC.

Based on observations made during today’s inspection, one deficiency is 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 at the end of the inspection.