Facility Evaluation Report

Licensing Program Analysts (LPAs), Kathrina Chin and Jessica Cho conducted an unannounced visit for the purpose of conducting a required annual visit. LPAs were greeted by Rosylnn Gray, Administrator and explained the purpose of the visit.

LPAs toured the facility. There is one resident residing in the facility and no active COVID-19 cases. All residents appeared clean and well taken care of. LPA observed required postings in the facility as well as hand washing signs in the restrooms. All bathrooms observed had ample soap/sanitizer and appeared clean. Resident bedrooms appeared clean and sanitary and had all required components. LPA observed the emergency disaster and evacuation plans. Facility has back-up emergency food and water supply as well as PPE supplies. Ms. Gray could not locate the copy of the Mitigation Plan.

Smoke detectors, carbon monoxide and auditory exit alarms were tested and were operational. Bathrooms were observed to be in good repair; and provided with grab bars and non-skid floor mats. Hot water was measured at 122.3 degrees Fahrenheit. Facility met the minimum two day perishable and seven day non-perishable food stock requirements. Medications and sharp items were inaccessible to residents in care. Fire extinguisher was mounted and charged. For the exterior portion, facility had patio furniture in good repair and a covered patio, and grounds were free of tripping hazards. The koi pod does not have a cover on half of the koi pod. Several cleaning solutions were unlocked and accessible to the resident.

The following deficiency is cited today as per Title 22 of the California Code of Regulations:

An exit interview was conducted, appeal rights explained and copy provided and a copy of this report was provided.