Facility Evaluation Report

Licensing Program Analyst (LPA) Cassandra Mikkelson and Licensing Program Manager (LPM) Laura Munoz arrived unannounced and met with Administrator Balwinder Rai to conduct an annual inspection utilizing the inspection tool.

LPA and LPM conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA and LPM observed six (6) resident rooms, four (4) common area bathrooms, kitchen, common areas and perimeter of the care home. LPA and LPM 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 118.9 degrees F.

LPA and LPM 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 extinguishers and first aid kit are maintained and ready for emergency use. LPA and LPM checked medication storage and found medications to be locked away and inaccessible to the residents. LPA and LPM reviewed three (3) resident files, three (3) staff files and three (3) resident medications.

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