Facility Evaluation Report

Licensing Program Analyst (LPA) Arlene Garcia conducted an unannounced annual / Infection Control visit on this date. LPA met with Sarah Mikail, Administrator .

LPA conducted gateway questions prior to visiting facility. AD completed symptom check upon entry and sign in sheets available to document all visitors.

LPA and AD, inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, and dining/ living room areas.

LPA observed sufficient 7 days non-perishable and 2 days perishable food supplies.. Hot water temperature measured 106.3 degrees in residents bathroom with the AD which is in required range of 105 to 120 degrees.

Last Fire Drill conduced dated 8/5/21. Fire extinguisher maintained 6/25/2021.

Fire alarm and carbon monoxide functional. LPA and AD observed centrally stored medications. LPA observed sharps and toxins locked.

LPA reviewed 2 staff and 4 clients files. Client emergency contact complete. LPA observed all staff files complete. Administrator Certificate valid until 10/8/21..

All persons in facility fully vaccinated. LPA observed clients wearing masks. LPA observed 30 days PPE supply. First aid kit complete.

LPA observed the backyard with 3 emergency exit points. LPA observed old equipment, old mattress, and unused satelite dish and water heater in backyard.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with AD and a copy of report given via email.