Facility Evaluation Report

On 12/27/2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 12:50 PM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Teofila Oueis, Administrator and explained the purpose of the visit.

During the visit, LPA observed 1 resident in the living room watching television, 1 resident in bed asleep, and a third resident eating lunch in their room.

LPA toured the physical plant. This is a 1-story building with 7 bedrooms (6 bedrooms for residents and 1 for staff), 2 bathrooms, kitchen, office, back and front yards, sunroom, living room, and dining room. All bedrooms had the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature. Per interview with the Administrator, the facility's fire alarms are connected directly to the fire department. The fire alarm panel was observed to be in working order. The facility had the required carbon monoxide detectors which were observed to be in working order. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired.

All sharp objects, detergents, poisons, etc. were observed to be locked and in-accessible to persons in care.

LPA Calandra reviewed 3 resident files and 4 staff files. All were observed to be complete.

A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility.

LPA Calandra requested the following documents be sent to CCLD by 1/3/2024:

Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties

An exit interview was conducted. This report was reviewed with Teofila Oueis, Administrator and a copy of the report along with Appeal Rights left at the facility.