Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to the facility to conduct an annual inspection. LPA met with facility staff, and explained the purpose of the visit.

LPA requested the following documentation: LIC 500, Surety Bond, LIC 308, Administrator Certificate, Emergency Disaster Plan

LPA toured the facility to ensure compliance of Title 22 regulations. Residents were observed to be leaving for day program and getting ready for their day. LPA observed resident bedrooms to have necessary furniture and furnishings. Bedrooms were observed to be clean, organized, and odorless. Bathrooms were observed to have soap, paper towels, hand sanitizer, and a lid trash can. Common areas were clean and organized. The facility had sharps, cleaning supplies, and medications locked and inaccessible to residents in care. The hot water temperature was measured at 110.0*F, which is within the regulatory range. Room temperature was measured at 72*F. A first aid kit was observed to have necessary items. There is a minimum of 7-day nonperishable and 2-day perishables foods.

Per California Code of Regulations, Title 22, no deficiencies were observed during today's visit. An exit interview was held with facility staff, and copy of the report was provided and left at the facility.