Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Administrator Jennifer Briscoe.

During visit, LPA toured the facility inside and out. LPA toured 5 resident bedrooms. Each bedroom had functioning lights and available bedding and clothing storage areas. LPA toured the resident men's bathroom and women's bathroom. Each bathroom had working lights and available soap and paper towels. The water temperatures in the bathroom sinks measured at 115 F and 112 F.

LPA toured the kitchen area and observed there to be a perishable food supply of at least 3 days and a non-perishable food supply of at least seven days. LPA toured the outside area and found the exits to be clear of obstructions. LPA reviewed the first aid kit and found it to be complete.

The Emergency Disaster Drill Log indicates the last recorded drill was conducted on 09/11/2024. Facility records indicate that contracted safety engineers inspected the fire extinguishers and smoke detectors on 07/24/2024 and determined they were operational and maintained.

LPA reviewed Centrally Stored Medication and Destruction Records (CSMDR) for residents R1-R6. R2's CSMDR had a medication that was missing a prescription label. R3's CSMDR had 2 medications missing, R4's CSMDR had had 3 medications missing, R5's CSMDR had 1 medication missing, and R6's CSMDR had 5 medications missing. LPA reviewed the resident records for R1-R6 and found them to be complete. LPA reviewed staff records for 6 staff and found them to be complete.

Deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Administrator Jennifer Briscoe and a copy of this report and appeal rights were provided.