Facility Evaluation Report

On 03/04/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to continue the annual inspection. LPA identified herself upon arrival, stated the purpose of the visit and met with the Licensee, Martin Rodil. LPA presented Rodil with a list of documents that Community Care Licensing required.

LPA inspected the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. Opened packages in the refrigerator were dated appropriately. All pantry items were dated as well.

LPA inspected all resident bedrooms. All resident rooms had the required furniture, furnishings and lighting to be in compliance at this time. One resident room was malodorous. The Licensee explained that it could be due to cats having been in that room. LPA explained that the facility must be kept clean and sanitary per California Code of Regulations (CCR) 87303(a). This deficiency was cited on the LIC 809D page.

LPA noted soap, paper towels, and trash cans with lids in the bathrooms. The tub/shower floor had a non-slip surface, as required. The hot water temperature was measured at 105.1 degrees Fahrenheit and was in compliance at the time of this inspection. The fire extinguisher was purchased on 3/4/25 from

Jorgensen Co. and the receipt was attached for LPA review.

LPA reviewed the Centrally Stored Medication and Destruction Record (CSMDR) and reviewed the storage, administration, and destruction, of resident medications. LPA provided technical assistance regarding the storage of nutritional supplements. LPA inspected the first aid kit to ensure it had all of the required elements. It was in compliance at the time of inspection.

LPA conducted a review of the resident and staff files and found that the resident's file was complete and in