Facility Evaluation Report

On 06/18/2024 Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA Martinez met with Melissa Patacsil Marilyn Patacsil and explained the purpose of the visit.

LPA Martinez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations.

Administrator holds current certificate. The facility is licensed for four ambulatory clients and two non-ambulatory. There are currently four clients who reside at this facility.

The LPA Martinez toured the facility with Melissa Patacsil and Marilyn Patacsil on 06/18/2024 at 1:45 PM.

LPA Martinez reviewed four client files and four staff files, and the files were maintained. The facility has an infection control plan and natural disaster plan. The last fire drill was on May 08, 2024. LPA Martinez reviewed two medication administration records (MAR), which were maintained. Fire extinguishers, carbon detectors, and smoke detectors are in good repair. The common areas, bedrooms, bathrooms, kitchen, and laundry areas are furnished and in good repair. The facility has a exterior shaded patio area for resident use. The facility has an adequate food supply. The facility water temperatures measured at 106 degrees, and facility temperature measured at 73 degrees.

Based on this annual inspection, the facility is in compliance with California Code of Regulations, Title 22 and Health and Safety Code, there were no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided to the facility.