Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required inspection. LPA Valerio was met by facility staff and later met by Administrator Elaine.

LPA Valerio and facility staff toured the facility to ensure compliance of Title 22 regulations. LPA Valerio inspected residents bedrooms, which were observed to be free from odors, clean, and fully furnished. Resident bathrooms were observed to be clean and free from debris. The kitchen was observed to have medications, sharps, and cleaning supplies locked and inaccessible to residents. The facility was observed to have an adequate food supply and an emergency supply of food. Staff were observed sitting outside with residents, assisting residents with craft activities, assisting residents with ADLs, cleaning, and preparing meals. The backyard was observed to have a shed utilized for storage. There is no live in care staff; however, there is a staff designated room for staff breaks.

LPA Valerio requested the following annual documentation be sent to LPA: LIC 500, LIC 308, LIC 610, and copy of Liability insurance

Per California Code of Regulations (CCR) - Title 22, no deficiencies are being cited. An exit interview was held, and a copy of the report was provided,