Facility Evaluation Report

On 2/3/23 at approximately 10am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a case management health and safety check related to fire clearance. LPA Jensen met with Jose Alvarez, care giver, and explained the purpose of today's visit. LPA Jensen called Licensee on teh telephone and there was no answer. LPA Jensen left licensee a voicemail.

LPA Jensen observed the thermostat in the facility to be set at 67 degrees which is below the required regulatory range of 68-85 degrees. LPA Jensen observed 4 of 4 residents at the facility. 2 of 4 residents were asleep and 2 of 4 residents interviewed advised they were satisfied with the care being received.

LPA Jensen inquired about the status of the fire clearance. LPA Jensen was advised that the fire department came out and gave the approved the clearance but did not leave a coy of the paperwork .

LPA Jensen received a phone call during the course of the visit from the Licensee. LPA Jensen spoke to Licensee Jean Alvarez who advised that the Fire Marshal stated he would email licensing the clearance on Monday and she assumed Community Care Licensing was in possession of the clearance. LPA Jensen advised no such email was received. **This report is being amended to reflect that the fire clearance was granted for 2 bedridden clients prior to the writing of this report therefore the civil penalty is withdrawn**

Deficiencies are being cited form the California Code of Regulations (CCR) Title 22, Division 6.

An exit interview was conducted and a copy of this report with appeal rights was given.