Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Marina Gomarad .

During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the kitchen area. LPA Marrufo observed a locked drawer for medications. LPA Marrufo observed a first aid kit that was complete. LPA Marrufo observed the food supplies in the kitchen and garage and observed there to be a perishable food supply of two days and a non-perishable food supply of at least seven days.

LPA Marrufo toured three out of three resident bedrooms and found them to have adequate bedding, furniture, and working lights. LPA Marrufo observed the facility bathroom had water temperature at 110 F.

LPA Marrufo observed the outdoor exits were clear of obstructions.

LPA Marrufo reviewed the facility Personal and Incidental Money Records Log and found all accounts to be balanced. LPA Marrufo reviewed Resident Records and Staff Records and found them to be complete. LPA reviewed the Emergency Disaster Drill Log and observed the last emergency drill occurred on 12/28/2023.

LPA Marrufo tested the facility smoke detectors and found 2 out of 4 smoke detectors were not functioning properly when tested and there was no smoke detector in the facility hallway. LPA Marrufo did not observe a carbon monoxide detector during visit and staff were unable to find an installed carbon monoxide detector during visit.

A deficiency was cited as per California Code of Regulations Title 22. An LIC9102 Advisory Note was issued. This report was reviewed with Marina Gomarad and a copy of the report was provided.