Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with Administrator Rendento Magsayo

LPA and Staff inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. LPA measured the hot water temperature in residents bathroom at 119 degrees Fahrenheit in resident bathroom sink, which is

within the required range of 105 to 120 degrees.

Fire extinguisher are tagged and current, smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. medication logs. During the file review for the residents LPA observed outdated IPP's for 3 of 5 files reviewed. (Advisory given)

First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility. The facility conducts fire/disaster drills with residents on 11/4/2022. Per the Title 22, Division 6 of California Code of Regulations. Exit interview conducted