Facility Evaluation Report

On July 9, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Resident Care Coordinator, Rose Ruiz and explained the purpose of the visit.

LPA toured the facility inside and outside including a random sample of resident rooms, common areas, and kitchen area. LPA observed residents eating breakfast during the visit and engaging in activities. Dining room was observed free from tripping hazards. A comfortable temperature is maintained throughout the facility and lighting is sufficient for comfort. Resident rooms observed had required furnishings. LPA observed the two shower bathrooms and a random sample of resident rooms with bathrooms, however did not observe any non-skid mats. LPA toured kitchen and observed 2 days perishables and 7-day non-perishables. 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 current as of

May 2025. Emergency drills are logged and done every two months. LPA reviewed 5 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. 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 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Resident Care Coordinator and a copy is provided.