Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct an annual required inspection. LPA Valerio met with Facility Staff Siteri and explained the purpose of the visit.

LPA Valerio and staff toured the facility to ensure compliance with Title 22 regulations. LPA Valerio observed three (3) resident bedrooms. Resident bedrooms were fully furnished and free from odors. Resident bathrooms were observed to be fully stocked with hygiene supplies, such as paper towels, toilet paper, and hand soap. LPA Valerio observed additional hygiene supplies locked in a cabinet available for use. LPA Valerio observed medications, sharps, and toxins locked an inaccessible to residents in care. LPA Valerio observed an outside contractor painting the kitchen area and replacing the lights. The facility was observed to have an adequate food supply. LPA Valerio observed snacks accessible to the residents located near the kitchen area and dinning room. The exterior area was observed to have a large area for outdoor visitation and/or activities. LPA Valerio observed residents watching television in their room/living room, smoking outside in the backyard, and walking in the back yard. Staff was observed assisting with resident ADLs, cleaning, and assisting the contractor. LPA Valerio observed the fire extinguisher was fully charged with last annual service date of 09 of 2025. LPA Valerio spoke to staff and residents during the visit. LPA Valerio observed alarms to be in working condition.

LPA Valerio reviewed staff and resident files. All files were observed to up to date with required documentation. LPA Valerio requested the following be sent to cclascpsacramentosouthRO@dss.ca.gov: LIC 500, LIC 308, LIC 610D, and copy of liability insurance

Per California Code of Regulations (CCR) - Title 22 - no deficiencies were observed during today's visit. An exit interview was held, and a copy of this report was provided.