Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the facility for a complaint. During the complaint visit, LPA Rico completed a case management visit to cite for four (4) deficiencies found during facility tour.

During facility tour, LPA observed R1 doorknob is not working. Doorknob does not open and close properly. LPA observed cleaning solutions under the bathroom sink without a lock LPA requested care givers to remove cleaning solutions immediately. In addition, LPA observed expire food inside the refrigerator. LPA requested care givers to remove expire food immediately.

During record review, LPA observed facility did not have planned activities for the month. Planned Activities should also include the following items: socialization, daily living skills, leisure, physical activities, education and free time for their own activities.

During today’s visit, four (4) deficiencies to the facility were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted where this report, LIC809, LIC809D, Appeal Rights were discussed and provided to Frederic Manuel.