Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Flamingo R. Ligutom, Administrator. LPA announced the purpose of the visit. LPA observed 1 resident and 2 staff, 5 of 5 residents went to day program.

During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. First aid kit was observed to be complete.

LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature was measured with thermometer at 38 degrees F and freezer at 0 degrees F.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA toured 2 resident bathroom. Bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer between 107-108 degrees F.

LPA toured the outside area and found the exits to be clear of obstructions. During tour LPA observed sliding door screen in bedroom #3 was missing during visit ADM ordered screen replacement. LPA observed 1 fire extinguisher last serviced on 12/19/24. LPA reviewed Fire and Earthquake log last disaster drill was last conducted on 2/03/25

LPA reviewed 3 staff records. LPA reviewed 2 resident files. ADM reviewed P & I and Centrally Stored Medication Record.

No deficiencies were cited as per California Code of Regulations Title 22. A Technical Violation was issued. See LIC9102 for more information. This report was reviewed with Flamingo Ligutom , Administrator and a copy of this report was provided.