Facility Evaluation Report
On March 6, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with licensee, Florinda Guinto and explained the purpose of the visit. The administrator, Charito Rafael arrived at the end of the inspection.
The Licensee provide a toured of the facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort.
On the main floor, LPA observed total of 5 bedrooms (2 staff rooms and 3 shared resident rooms) and on the lower level, LPA observed a big bedroom with a bath/shower room inside.
Hot water temperature in the kitchen, and bathroom was measured at 105-136 degree F. Extra linen was present. Medications were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present.
A review of (5) resident files was conducted and noted on the LIC 858.
A review of (2) staff files was conducted and noted on the LIC 859.
The following information/form is requested to be submitted to CCLD BY 3/7/2025:
Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties.
This report is reviewed and discussed with licensee and administrator. A copy of this report and the appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction