Facility Evaluation Report

On April 3, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Jesse Swint and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, staff room, office room, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two story facility. There are three resident rooms on the first floor; two of which are shared and one that's a single private room. Resident rooms were observed to be clean with all required furniture besides lamps. Office and staff room were observed on the second floor. Two full bathrooms and one half bathroom were observed to be clean, equipped with liquid soap and paper-towels. LPA observed the water faucets in the two full bathrooms to be in disrepair. Tiles in the half bathroom were observed missing. Water temperature throughout the facility measured between 117-120 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. Kitchen was observed to have cabinets that would not fully close. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and are charged. Emergency drills are logged and done every month. LPA reviewed 3 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement, however 2/5 staff file reviewed did not have first-aid certificate. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

Deficiency was observed during the visit and cited from the California Code of Regulations, Title 22 and Health and Safety Code. See LIC809-D. Failure to correct the deficiencies may result in civil penalties.

Report is reviewed with Administrator and a copy is provided.