Facility Evaluation Report

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Executive Director Abigail Vue to conduct an annual inspection utilizing the inspection tool.

LPA conducted an inspection of the care facility to ensure compliance with Title 22 regulations. LPA observed four (4) resident rooms, four (4) resident bathrooms, common areas, medication room, kitchen and dining room. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained.

LPA checked the kitchen area for the ability to prepare and store food. Care facility has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Kitchen was in sanitary condition and organized to serve residents in care. Smoke detectors and carbon monoxide detectors are operational in the care facility. Fire extinguishers 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 five (5) resident files, four (4) staff files and resident medications.

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 Executive Director.