Facility Evaluation Report

Licensing Program Analyst (LPA) Cheryl Goodrich conducted an unannounced annual visit. LPA met with the Caregiver Cyd Pace at the front door and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. Facility is approved for six (6) ambulatory residents. There are 6 residents living at the facility. The Administrator Marilou Manrique later arrived.

Physical Plant: front entrance, interior and surrounding exterior were clean and in good repair with no pathway obstruction; doorway alarms were in working order; facility temperature read at 77 degrees; residents' main restroom water temperature read at 105.1 degrees; there were no bodies of water on premises; there was sufficient lighting and mattress pads in all of the residents' bedrooms; fire alarm and smoke carbon monoxide detectors were in working order. Facility does not house firearms and/or ammunition on grounds.

Food Services : 7-day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents. There is also emergency food supply for both residents and staff.