Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual inspection on this date. LPA met with Virginia R.

LPA inspected physical plant including but not limited to kitchen, bedrooms, bathrooms, living and dining room area. LPA observed the facility. LPA observed sufficient furniture and lighting throughout the facility.

LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was not working and being repaired during the visit. LPA was informed today that the hot water went out last night. which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are current and in compliance with fire safety. Fire drill was conducted on 8/29/2022.

LPA observed centrally stored medications. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 4 resident and 2 staff files, including criminal record clearances. All staff today are associated to the facility. First aid kit was checked. During the file review LPA observed outdated physician's report for R1 as well as an outdated service plan.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, Deficiencies were cited during this visit. Advisories were given.

Exit interview held and a report given with appeal rights at the conclusion of the visit.