Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Executive Director (ED) Sheila Fike and explained the reason for the visit. Sheila Fike's Administrator's certificate expires 7/17/2025. LPA and ED toured the facility. Facility is a single story building with 44 resident rooms. LPA and ED toured 7 resident rooms. LPA observed the see something say something poster (PUB 475) is only 14 X 22 inches. LPA observed all resident rooms had the required furnishings. Each room had it's own carbon monoxide detector, all tested operational. Hot water measured from 116.6 degrees Fahrenheit to 121.0 degrees Fahrenheit. LPA observed the bathrooms were clean and operational. During the visit LPA observed the Director of Plant Operations setting the hot water temperature to 120.0 degrees Fahrenheit. LPA observed all hallways were free of obstruction. LPA and ED toured the kitchen and dining room. LPA observed the kitchen is clean and organized. LPA observed all the refrigerators and freezers had temperature logs. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed an emergency food and water supply on hand in the kitchen. LPA and the ED toured the courtyard of the facility. There is a raised fountain in the courtyard. There are seating areas with tables and chairs in the courtyard with umbrellas for shade. No obstacles or hazards observed outside of the facility. LPA observed all fire extinguishers in the facility are fully charged. LPA observed all medication is kept locked in medication carts which are stored in the medication room. LPA observed the first aid kit in the medication room has all the required elements. LPA reviewed 6 resident files and medications. No discrepancies observed. LPA reviewed 6 staff files. LPA observed 1 out of 6 staff members did not have the required 20 hours of annual training. Based on the observations made during today’s visit deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.

An exit interview was conducted and a copy of the report ( LIC 809) provided along with citations (LIC 809D) and appeal rights was provided.