Facility Evaluation Report

Licensing Program Analysts (LPAs) Santino Fortes and Simi Rai conducted an unannounced annual inspection, and met with Administrator (ADM) Aya Sasaki. ADM informed facility has 17 staff and 48 clients.

LPAs toured the facility inside out including: Main activity room that was partitioned into 4 sections, upper activity room, rear activity room and 4 common restrooms. 3 out of 4 Restrooms were observed to have accessible disinfectant sprays and wipes. No clients were observed to be unsupervised when near the accessible disinfectants. ADM removed disinfectant sprays and wipes during the inspection and transferred them to a locked cabinet. Two staff Refrigerators were observed. Food was covered and no expired food was observed. Temperatures were observed at 33 degrees F and Freezer temperature was -3 Degrees F. The outdoor activity area and garden were inspected. There was no obstruction to block any outdoor exits. One storage shed was observed locked and storing gardening supplies. LPA observed Facility License and Resident Personal rights were posted.

LPA observed the medication storage area, and cleaning products were locked and inaccessible to clients in care. Room temperature was at 67.2 degrees F, and hot water temperature was measured from four resident bathroom to range from 105.9-109.6 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 and tested on 11/7/24 as part of their quarterly fire inspection. All (4) four Fire extinguishers were last serviced on 1/18/24. The facility conducted their last fire drill on 11/7/24 and tested the central fire alarm system. SJFD conducted a test of the sprinkler system on 3/6/24 and the facility passed. LPA reviewed facility records for 5 staff and 8 clients. LPA reviewed 3 clients medications and centrally stored medication records.

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