Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Hellen Ferrer . During the visit, LPA observed 4 residents and 2 staff.

LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways.

Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. LPA measured facility room temperature where clients resided, using a thermometer. The temperature in rooms where residents resided and living room was at 100 degrees F. Hot water temperature was measured at 116 degrees F in both resident bathrooms.

Fire extinguisher was serviced in January 11, 2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on May 10, 2024.

LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA conducted interviews with 1 staff and 2 residents.

Deficiencies are being cited during today's visit, see LIC809-D. This report was reviewed with Administrator Hellen Ferrer and a copy of the signed report was provided. Appeal rights were provided.