Facility Evaluation Report

On 11/30/2023 at 11:15 AM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. No one was at the home upon arrival. LPA Lee was approached by designated staff, Digna Cabrera via the ring camera. LPA Lee introduced herself and explained the purposed of being at the home. LPA Lee explained that LPA Lee from with Community Care Licensing,the to conduct an annual inspection. Designated staff arrived approximately 30 minutes later. Administrator, Eliseo Cabrerra arrived approximately 10 minutes later and joined the visit. Both Digna and Eliseo assisted with today’s visit. Administrator certificate # is 6020179735 and will expire on 10/07/2024. The current census is 4.

This facility is a single story building licensed to serve six (6) clients and may have up to 3 non-ambulatory clients. LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA Lee toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 115.7 degrees Fahrenheit in client bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in in the common area and was last serviced on 02/06/2023. The last fire drill was conducted on 11/01/2023. LPA Lee observed the facility has a has a public telephone in the common room and the kitchen. The facility has the required posters posted. Facility thermostat observed at 69 degrees Fahrenheit. LPA Lee observed toxins located in laundry and it was kept locked and inaccessible to clients. LPA Lee observed sharp knives kept locked and inaccessible to clients. LPA Lee checked medication storage and found medication to be locked away and inaccessible to clients.