Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct the required annual inspection. LPA Valerio was met by facility staff, and explained the purpose of the visit. Staff confirmed there are 0 residents or staff that have displayed any signs or symptoms of COVID in the last 10 days.

LPA completed the infection control tool. LPA observed necessary signage located at the front door and common area of the facility. LPA and facility staff toured the facility including but not limited to 4 client bedrooms, 2 bathrooms, living room, dining room, kitchen, front yard and back yard. LPA observed the facility to be free of odor, clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed the temperature inside the facility was measured at 72*F. The hot water was measured at 106.3 *F. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed the centrally stored medications area and sharps to be locked and inaccessible to clients. LPA Valerio observed fire extinguisher(s) with last check on 08/04/2022. Smoke and carbon monoxide detectors were in good repair. LPA observed 2 staff files that showed CPR and first aid up to date.

LPA requested the following documentation to be sent: LIC 500, Administrator Certificate, LIC 308, LIC 400, Surety Bond, and LIC 610D

Per California Code of Regulations, Title 22, no deficiencies are being cited. An exit interview was held with Administrator Lionel Nunez, and a copy of the report was given.