Facility Evaluation Report

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with caregiver Richardo Rojas Garcia and was granted entry to the facility. The facility is a two-story home (8) bedroom (4), bathroom home and, with a kitchen/dining area, living room and attache garage. Licensed capacity is (6) current census (3). LPAs were accompanied by House Manager Brandon Marquez to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). The facility is maintained at a comfortable temperature. The facility is equipped with operating carbon monoxide alarms and fire alarms. Posters such as personal rights, the CCL complaint poster, Infection Control Plan, and Disaster Plan were posted in the common area . Dishes, cups, and utensils were also stored properly. LPA inspected resident’s bedroom they’re equipped with required furniture: such mattresses night stands, and storage space.

Deficiencies that were found during facility tour: LPAs inspected residents’ bedrooms; bedroom number one had a broken dresser. Residents’ bathroom shower did not have non-skid mats. LPAs tested residents’ hot water; the temperature tested at 78 F. In addition, one of the hallways lights did not turn on, the bathroom located by bedroom number four and three had the light switched broken and did not have appropriate lighting for the residents. Furthermore, LPAs requested House Manager Brandon Marquez to test the kitchen stove. LPAs observed House Manager turning the stove on with a lighter. LPAs observed facility phone line to be off. LPAs observred the facility did not have two days of perishable supplies for the number of residents in care. Lastly, LPAs were unable to enter one of the bedrooms on the second floor. House Manager Brandon Chavez stated they are unable to open the bedroom because the Administrator Na Zhao "Sandy" has the keys to enter the bedroom. Activities were not being provided, as listed on their calendar.