Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Juan Ramirez, to conduct a case management health and safety check.

LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and two (2) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. Hot water temperature was observed to be 111 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA checked one (1) resident's medications and observed medication to be locked and inaccessible to the residents in care. LPA reviewed five (5) resident records. LPA observed staff on the premises to have a criminal background clearance on file.

As a result of today's inspection, no deficiencies are being cited. Exit interview was conducted and a copy of this report was provided. Signature on these forms acknowledges receipt of these documents.