Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct the required annual licensing inspection. LPA was greeted at the front door by Caregiver America Cisneros, identified herself, and stated the purpose of today’s visit, to inspect the facility to ensure it is in compliance with the r ules and regulations of California Code of Regulations, Title 22, Division 6. Caregiver Cisneros contacted Licensee Larson who arrived a short time later to attend the inspection.

During today's visit there were 3 clients and 1 staff present. LPA Correia conducted a general overall inspection.

LPA, accompanied by Licensee Larson, conducted a facility tour. The facility's temperature was 76 degrees Fahrenheit at the time of the visit. The client bathroom's hot water temperature measured 109 degrees Fahrenheit. Disinfectants, cleaning solutions, poisons were inaccessible to clients. All client rooms were equipped with the required furnishings. Client bathrooms were observed to be sanitary and equipped with the required supplies. Grab bars and non-skid flooring were present for showers and bathtub used by clients. Lighting was maintained in hallways and passages to client bathrooms. Facility stairwell was equipped with an evacu-chair. Facility has no bodies of water on the premises.