Facility Evaluation Report
On 06/19/2024 at 09:20 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Licensee/Administrator Ebraheem Hamed and was granted entry to the facility. At the time of the visit there was two (2) staff present, and sixteen (16) residents present. LPA Brown explained the purpose of the visit to Licensee/Administrator Ebraheem Hamed.
The facility is eleven (11) bedroom, seven (7) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of twenty-two (22) ambulatory residents. The current census is twenty-one (21) residents. LPA Brown was accompanied by Licensee/Administrator Ebraheem Hamed to conduct a general overall inspection, which included, but was not limited to the following:
Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPA Brown observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms.
Moreover, during the tour of the facility, LPA Brown observed the knives drawer not locked and accessible to residents in care. Deficiency will be issued. In addition, LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 113 degrees Fahrenheit. LPA Brown observed one (1) window screen in disrepair. Technical Violation issued. LPA Brown observed movable waste bin in the kitchen does not have a cover. Deficiency will be issued. ***Continuation in LIC809C ***
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction