Facility Evaluation Report
On 10/31/2024, Licensing Program Analyst (LPA) Murial Han and LPA Yi Sam Jian conducted an unannounced annual inspection. LPA met with staff member, Amabel Gabutina, Franzie Gabutina, Pedro Gabutina and Administrator, Maria Naniola , joined shortly there-after. LPA explained the purpose of the visit.
The ground floor had staff bedroom, staff room, staff living room, staff bathroom, staff kitchen, laundry room, and garage. Part of garage had a bed and used as bedroom for staff which is inconsistent with the facility sketch. The second floor had living room, kitchen, 2 bathrooms, and 3 bedrooms for residents. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed.
Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety.
Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit located next to the kitchen.
Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. 1 out of 3 staff's TB result and health screen were not available to review. 4 out of 4 residents' needs and service plans were incomplete due to missing signatures. P&I were reviewed to be accurate for 2 residents.
Deficiencies of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties.
This report is reviewed and discussed with the Administrator; a copy and appeal rights are provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction