Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with administrator (ADM) Aaron Coronel.

LPA observed 2 staff in the facility. 4 residents went to day program, 1 resident went to dental appointment, and 1 resident went to work.

LPA reviewed 3 resident files and 3 staff files. License, ADM certificate and personal rights posters were observed at the main entrance.

Living room, kitchen, and family room were inspected. Three shared resident bedrooms, and two bath rooms were inspected. One staff live-in room was observed in the facility. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. The temperature of the refrigerator was observed at 38 degree F, and the temperature of the freezer was observed at 0 degree F. Knives closet and medication closet were observed locked. Cleaning product closet was observed unlocked, ADM locked the cleaning product closet immediately. Room temperature was observed at 68 degree F. Hot water was observed at 110 degree F.

Fire extinguisher was serviced on 04/15/2024. The facility was equipped with smoke and carbon monoxide detectors, and fire alarm. Carbon monoxide detectors were tested and were working. First aid box flash lights were observed at the facility. The last time of the facility earthquake drill was on 6/5/2024 and the last time fire drill was on 6/3/2024. Front yard and backyard were inspected. One storage room was observed at the backyard. There was no obstruction observed to block the walkways.

Citation noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.