Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility to conduct a health and safety check and follow-up regarding technical assistance that was provided to the facility during an inspection conducted on 5/01/2024.

During today's inspection, LPA toured the facility. LPA observed facility to be utilizing Centrally Stored Medication Forms for medication administration. LPA observed a two (2) day perishable and seven (7) day nonperishable food supply at the facility.

During inspection, LPA observed knives and disinfectants to be unlocked and accessible to residents in care in the kitchen area. LPA observed that medications were pre-poured for a seven day period.

As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8 regarding hazardous items being accessible to residents and pre-pouring medications.

Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.