Facility Evaluation Report

On May 12, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregivers, Genalyn Napo and Elizabeth Macabales Esguerra and explained the purpose of the visit. The administrator, Oscar Madrigal and Licensee, Juliet Pacaldo arrived shortly thereafter and assisted with the inspection.

LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 6 private rooms. Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort

Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time.

Central storage for medications, and chemicals were observed to be locked and inaccessible to residents in care; LPA observed sharps were stored in the kitchen on the dish rack not locked and accessible to residents in care.

Hot water temperature in the kitchen and bathroom were measured at 108-110 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 1/21/2025

A review of (2) resident files was conducted and noted on the LIC 858.

A review of (2) staff files was conducted and noted on the LIC 859.

Civil penalty of $200 dollars is being assessed today as S1 and S2 were not associated with the facility.

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 administrator. A copy of this report and the appeal rights were provided.