Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced 1 Year Required Annual Inspection Visit. LPA met with Administrator and discussed purpose of visit.

LPA conducted a tour of facility and observed physical plant with Administrator. Fire extinguisher expires 10/12/2 and annually inspected by River City Fire.

Kitchen area was toured. Drawers and cabinets were reviewed to make sure that they were functional and in compliance at this time. Chemicals, cleaning agents, and detergents were observed to be locked and made inaccessible to the residents at this time. Medications were locked and stored in a cabinet in the kitchen. Food supply was reviewed for adequate 2-day supply and 7-day nonperishable quantities.

Commons rooms were toured. Living room, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time.

A tour of the resident bedrooms and restrooms was conducted. Bedroom furnishings and furniture were observed to be functional and maintained in compliance at this time.

Resident restrooms (2) were reviewed. Hot water temperature measured at 109.2 which in within the allowed range of 105-120 degrees.

Laundry area was reviewed and detergents, cleaning agents, and bleach were observed to be locked and made inaccessible to the residents at this time.

Garage area was toured and observed to have been updated as an activity room for the residents.

Exterior grounds were toured. Side gate, perimeter fence, and all exits were observed to be functional and in compliance at this time. Tool shed in backyard was unlocked with six gallons of paint inside. Staff locked shed up immediately to keep chemicals inaccessible to clients.

A review of (4) of (4) resident files was conducted.

A review of (3) personnel records was conducted.

Per California Code of Regulations, Title 22, the following deficiency was observed during this visit. Exit interview was held with Administrator. A copy of reports and appeal rights left at facility.