Facility Evaluation Report
Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Caregiver Alexander Angulo and was granted entry to the facility.
The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory residents, one (1) resident may be bedridden. The current census is five (5) residents. LPA was accompanied by Caregiver to conduct a general overall inspection, which included, but was not limited to, the following:
The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA measured and observed the water temperature in the bathrooms to be at 129.3 degrees F. The facility will be issued a deficiency for not having the water temperature within the correct temperature range. LPA observed sufficient furniture and lighting throughout the facility. The facility has residents with a condition that requires auditory devices on the facility exit doors. The facility does not have working auditory devices on the exit doors in the living room, laundry room, staff room #1, bedroom #2, and bedroom #3. The facility will be issued a deficiency for not having auditory alarms on the facility exit doors. LPA found holes in the ceiling and the wall covered with trash bags and tape in the staff room #1. LPA found holes in the ceiling in the laundry room covered with trash bags and tape. LPA was informed by the Administrator that the holes were made in the wall and ceiling to add fire sprinklers, but the Administrator has since decided not to complete the addition of the fire sprinklers.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction