Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced Case Management visit to conduct a health and safety check on the residents in care. LPA was greeted and granted entry by Staff 1 (S1). Administrator (AD), Heddy "Girlie" Mae Oyson was notified by phone that LPA was at the facility. LPA asked if the facility had current liability insurance, Administrator stated that is it being taken care of by the Licensee. The Administrator could not provide proof of liability insurance. LPA and Staff 1 toured the facility. LPA observed the See Something Say Something sign (PUB 475) posted in the dining room. LPA observed the 5 burner gas stove lights unassisted. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The kitchen is clean and organized. The fire extinguisher in the dining is room is fully charged. LPA interviewed 2 residents. Both residents reported they have no issues and are doing well. LPA interviewed Staff 1 and Staff 2. Both staff members reported they are doing well and have no issues. Both staff members are background cleared and associated to the facility. LPA observed both bathrooms are clean and operational. Hot water measured 109.2 degrees Fahrenheit in both bathrooms. LPA observed all resident rooms had the required furnishings. LPA observed all resident rooms are clean and all beds have clean linen. Smoke detectors/carbon monoxide detectors tested operational. LPA toured the backyard. LPA observed the backyard grass is overgrown. No bodies of water observed. The exit gate on the North side of the house is operational. LPA and staff toured the garage. The garage is kept locked and used for storage. Staff reported that residents do no go into the garage. No obstacles or hazards observed inside or outside of the facility. No health or safety concerns observed during the visit. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations and Health and Safety Code. A Civil Penalty of $250 is being assessed for Failure to Correct/Repeat Violation. An exit interview was conducted and a copy of this report was given to the facility along with a copy of the, LIC 421-FC, LIC 809-D and Appeal Rights.