Facility Evaluation Report

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Mar Jason Dasco later arrived to assist with the inspection.

On today's visit, LPA observed five residents in care and two care giving staff present. LPA observed residents eating breakfast in the dining room. Residents appeared happy and in good health. LPA, accompanied by the AD, conducted a tour of the physical plant. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed the lights in each of the resident bedrooms to be operational. LPA inspected the five shared resident bathrooms and observed them to be clean. The water in each of the resident bathrooms were operational. Hot water temperature measured between 108.7 and 109.5 degrees Fahrenheit.

LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the five burner gas stove to be operational and lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in a pantry. LPA conducted interviews with staff and residents present at time of visit.

Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Mar Jason Dasco and a copy of the report was provided.