Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced and met with the Administrator, Andrew Makanoneng, to conduct a Required-1 Year Inspection.

LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are seven (7) bedrooms and three (3) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 117.4 degrees F.

LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguisher and first aid kit are maintained and ready for emergency use.

LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed four (4) resident files and also reviewed three (3) staff files.

As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22 Division 6, Chapter 8, the deficiency is being cited on the attached 809-D page.

Exit interview was conducted. A copy of this report and appeal rights were provided.