Facility Evaluation Report

Licensing Program Analyst (LPA) Cassandra Mikkelson and Regional Manager (RM) Alycia Rayner arrived unannounced and met with Administrator Kathryn Quebada to conduct an annual inspection utilizing the inspection tool.

LPA and RM conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA and RM observed six (6) resident rooms, two (2) common area bathrooms, common areas, kitchen and perimeter of the care home. LPA and RM observed rooms 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 118.2 degrees F.

LPA and RM 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. Smoke detectors and carbon monoxide detectors are operational in the care home. Fire extinguisher and first aid kit are maintained and ready for emergency use. LPA and RM checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed one (1) resident file and two (2) staff files.

Facility has a current copy of certificate of liability insurance and LPA obtained a copy.

As a result of this visit, no deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted with Administrator.