Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required inspection. LPA Valerio was met by Administrator Lani Calagui, and explained the purpose of the visit.

LPA Valerio and Administrator toured the facility to ensure compliance with Title 22 regulations. LPA Valerio observed 4 residents in care sitting in the living room with staff and a home health nurse. Residents were enjoying afternoon snacks. The common living room areas were observed to be fully furnished, clean, and free from odors. Resident bedrooms were observed to be clean, organized, and beds with clean linen. Resident bathrooms were observed to be fully stocked with skid mat, hand rails, trash can, hygiene supplies, and paper towels. The faucet delivered hot water within the regulatory range of 105-120.0 degrees F. The kitchen was observed to have working appliances. Staff was observed to be cleaning the pantry and prepping dinner. The facility was observed to have an adequate supply of food along with an emergency supply of food. Alarms on doors were observed to be in working condition. The fire extinguisher was fully charged.

LPA Valerio reviewed staff and resident files. All files were observed to up to date with annual documentation. LPA Valerio requested the following annual documentation be sent to CCLASCPSacramentosouthRO@dss.ca.gov: LIC 500, LIC 308, LIC 610, and copy of liability insurance.

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