Facility Evaluation Report

Licensing Program Analyst (LPA) Mita Partoza and Manuel Monter conducted an unannounced annual inspection to the facility. LPAs met administrator (ADM) Joyceline Bul-Lalayao and 2 staff.

All clients attends day program and were currently out of the facility.

Current census of the facility is 6 residents and 7 staff.

During visit, LPAs toured the facility to include the living room, dining room, kitchen, bedrooms, bathroom, garage, and backyard. 3 staff room was inspected, 2 bathroom were inspected. The bathroom hot water temperature was measured at 123.4F to 131.5F room temperature in the facility was at 68-75F. LPA observed the wall switch plate was broken, in the hallway bathroom across from resident bedroom #2. While touring the resident bedroom #1, LPA's observed blinds that were damaged.

LPA randomly reviewed 3 resident and 3 staff records including residents medication and P&I.

There is sufficient 2 day perishable and 7 days non-perishable food supply as required by regulations. Toiletries such toilet paper, paper towels, toothpaste are inspected and found to be sufficient. Toxic materials but not limited to laundry detergent and disinfectant are inaccessible to residents and are in a locked cabinet.

LPA tested the smoke/carbon monoxide and found to be in good working condition. All designated emergency exits and passage ways are clear from obstructions.

Deficiencies were cited per California Code of Regulations, Title 22 during today's visit, See LIC809-D. This report was reviewed with administrator Joyceline Bul-lalayao. Appeal rights were provided.