Facility Evaluation Report
Licensing Program Analysts (LPAs) Abdoulaye Zerbo and Armando Perez conducted an unannounced visit to the facility for the purpose of conducting a required annual inspection . The LPAs were greeted by administrator Lorena Doguillen, notified her of the purpose for the visit and were allowed to enter the facility to conduct the inspection. Licensee Mody Trupti joined at a later time and she was informed of the purpose of the visit.
Facility Overview: The facility is a single-story building with 4 residents bedrooms, 1 staff bedroom and 3 bathrooms. There is no gated pool and there are no firearms on the premises.
Infection Control: LPAs observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.
Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in kitchen cabinet under the sink and inaccessible to residents. The smoke detector and carbon monoxide detector were tested and were operational. LPAs observed fire extinguishers to be in compliance with the department requirements and with and expiration date of 4-11-25. LPAs observed the hot water temperature to meet requirements. The temperature was measured at various locations and averaged at 109.5°F.
Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two day supply of perishable foods. LPAs observed many items of the non-perishable food in the pantry to be expired. When the items were taken out, the facility did not meet the required seven day supply of non-perishable foods. Licensee informed LPA's a staff member was currently grocery shopping and will replace and restock the items needed to be in compliance. The violation will be addressed
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction