Facility Evaluation Report

Licensing Program Analysts (LPAs) Cassandra Mikkelson and Cheyenne Ratajczak arrived unannounced and met with Tommi Black to conduct an annual inspection utilizing the inspection tool.

LPA conducted an inspection of the care facility to ensure compliance with Title 22 regulations. LPA observed resident rooms, common area bathrooms, dining areas, kitchen, common areas, and perimeter of care faciity. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained.

LPA checked the kitchen area for the ability to prepare and store food. Care facility has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Smoke detectors and carbon monoxide detectors are operational in the care facility. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication rooms and found medications to be locked away and inaccessible to the residents. LPA reviewed ten (10) resident files, five (5) staff files and resident medications.

Facility has a current copy of certificate of liability insurance and LPA requested a copy.

As a result of this visit, no deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted with Administrator.