Facility Evaluation Report

Unannounced annual visit made out to this facility on 11/19/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Lillibeth Letrondo, at this time. A brief interview was conducted with the facility designated Administrator at this time.

It was learned that this facility was also vendorized through Golden Gate Regional Center to be able to accept and retain up to (4) Level 4I residents at any given time.

There were no residents under the care of hospice or home health at this time according to statements made by the facility designated Administrator.

A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were reviewed to make sure that they were locked and made inaccessible to the residents at this time.

Cleaning agents, bleach, and other supplies were reviewed under kitchen sink to make sure that they were locked and made inaccessible to the residents at this time.

A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times.

Medication cabinet, located in the kitchen area, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility designated Administrator at this time. A review of the facility Medication Administration Record and dispensing log was conducted.

Medication cabinet was reviewed to make sure that it was locked and made inaccessible to the residents at this time.

Living room, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time and able to meet the needs of the residents.

A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.