Facility Evaluation Report

Licensing Program Analysts (LPA) Santino Fortes and Manuel Monter conducted an unannounced annual inspection, and met with Administrator Abella Cabanayan. LPA's observed 3 staff and 4 clients.

LPAs toured the facility inside out including: kitchen, living room, family room and 1 staff office, staff area, 4 rooms and 1 restrooms. Restrooms observed to have non skid flooring. LPAs observed perishable food supply of at least two days and non-perishable food supply of at least seven days. Refrigerator temperature was observed at 36 degrees F and Freezer temperature was 0 Degrees F. During visit The front yard and backyard of the facility was also inspected. There was no obstruction to block the outdoor exits. One storage shed used to store supplies was observed to be locked. LPA observed Facility License and Resident Personal rights were posted.

LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to clients in care. Room temperature was at 78.0 degree F, and hot water temperature was measured from resident bathroom at 108 degrees F. LPA inspected the facility first aid kit and it was observed to be complete. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested. Fire extinguishers were last serviced on 08/16/24. The facility conducted their last fire drill on 10/15/24.

LPA reviewed facility records for 3 staff and 4 residents. LPA reviewed 3 clients medications and centrally stored medication records. LPA reviewed 3 resident P&I records. LPA's interviewed 2 staff and 1 resident. LPA's observed residents participating in a November art activity.

No deficiencies were cited during today's visit as per California Code of Regulations Title 22. Exit interview was conducted with ADM. This report was reviewed and a copy was provided to ADM for signature.