Facility Evaluation Report

Licensing Program Analyst (LPA) Cheryl Goodrich and Stephanie Martinez conducted an unannounced annual visit. LPA met with the Administrator Rosy Ybanez at the front door and was granted entry. Administrator Rosy Ybanez was accompanied by Sandra Tortoledo another staff member. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. Facility is approved for four (4) clients, 3 ambulatory clients and 1 non-ambulatory client.

Physical Plant: front entrance, interior and surrounding exterior were clean and in good repair with no pathway obstruction; doorway alarms were in working order; facility temperature read at 73 degrees; residents' main restroom water temperature read at 111.7 degrees; there were no bodies of water on premises; there was sufficient lighting and mattress pads in all of the residents.All fire alarm and smoke carbon monoxide detectors were in working order. Facility does not house firearms and/or ammunition on grounds.

Food Services : 7-day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents.

Medication/Facility Records: Medications were observed to be labeled and in a locked place that is inaccessible to residents. All staff subject to a criminal record review obtained fingerprint clearance and/or an exemption. Staff responsible for direct care and supervision have current First Aid / CPR training. Licensee has completed a written admission agreement, current medical assessment and needs and service plan with each resident. Last fire drill was 05/05/23.