Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived at this facility unannounced to conduct an annual inspection visit. LPA met with Administrator Khanh Farkas and explained the purpose of the visit.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a residential care facility for the elderly with a current census of 0. Facility is currently in process of seeking vendorship through regional center and does not have residents in care. Facility does not have active staff members at this time. Facility has 4 bedrooms and 2 bathrooms for resident use. Facility has a dining area off the kitchen and a formal living room. The facility has an approved infection control plan in place. Water temperature reads 105*F to 120*F. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked. All toxins and other dangerous items including sharp objects were locked. Medication storage area was observed to be locked. First aid kit was observed to have adequate supplies and accessible to staff. Facility’s liability insurance is current and update to date per regulatory requirements. Facility does not contain any bodies of water. LPA observed personal rights, resident council and complaint information posted. Facility has appropriate internet access available. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Roof in the garage is leaking and is being fixed.