Facility Evaluation Report
On 11/26/2024 at 08:50 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Licensee/Administrator Mariela Aragon and was granted entry to the facility. At the time of the visit there were two (2) staff present, and four (4) residents present. LPA Brown explained the purpose of the visit to Licensee/Administrator Aragon.
The facility has six (6) bedrooms, in which three (3) bedrooms are designated for residents, and three (3) bedrooms are designated for staff/family, three (3) bathrooms, living room, kitchen, dining area, backyard, and attached garage. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of four (4) non-ambulatory residents and of which two (2) residents may be bedridden. The current census is four (4) residents. The facility has approved hospice waiver for three (3) residents. LPA Brown was accompanied by Licensee/Administrator Aragon 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 Division (CCLD). The buildings and grounds were free from hazards. Outdoor and indoor passageways were kept free of obstruction. LPA observed an in-ground pool in the backyard, the perimeter of pool is gated and locked. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in the residents shared bathroom to be at 128.1 degrees Fahrenheit. Deficiency will be issued. Also, LPA Brown noted no night lights maintained in hallways and passages to non private bathrooms. Deficiency will be issued. Moreover, LPA Brown observed one (1) window screen in disrepair. Technical Violation will be issued. ***Continuation in LIC809C***
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction