Facility Evaluation Report

On November 15, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Caregiver, Flordeliza Rabino and explained the purpose of the visit.

LPA toured the facility inside and outside including all of client rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two story facility; client bedrooms, kitchen, common area, bathrooms, etc. on the second floor, and staff bedroom, garage, and one client room on the first floor. All residents were either at their day programs or out of the facility.

Second floor living room and dining room was observed to be clean, free from tripping hazards and odor-free. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA toured kitchen and observed two day perishable and seven day non-perishables. Sharps, chemicals and medications were observed to be locked an inaccessible to clients. LPAs observed three client bedrooms; two shared rooms and one single-private room. All rooms were observed to be in good repair with required furniture. Two full bathrooms were observed on the second floor; equipped with liquid soap and non-skid mats. LPA advised Water temperature throughout the facility measured between 127.7-129.3 degrees F. Extra linen was observed to be present.

LPAs toured the first floor; garage, resident room, a staff room and a bathroom. Washer and dryer were in good repair. Carbon monoxide monitor is working properly. All fire extinguishers have been checked and current as of April 2024. Emergency drills are logged and done quarterly. LPAs reviewed 4 client records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

Deficiencies of the California Code of Regulations, Title 22 are cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Caregiver and a copy is provided