Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year Visit and met with Administrator Ven Ignacio.

During visit, LPA Marrufo toured the facility inside and out. LPA toured the kitchen and food supply areas. LPA observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed there to be a first aid kit and found it to be complete.

LPA toured six out of six resident bedrooms. Each bedroom had available bedding and clothing storage areas and working lights. LPA tested the smoke detectors in the hallway and in each resident room and found them to be functional when tested.

LPA toured the outside area and found the outdoor exits to be clear of obstructions.

LPA toured four out of four resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperatures in the bathrooms ranged from 105 F to 108 F.

LPA reviewed the Centrally Stored Medication and Destruction Records for 3 out of 3 residents and found them to be complete. LPA reviewed 3 out of 3 resident records and 3 staff records and found them to be complete.

No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Ven Ignacio and a copy of this report was provided.