Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator (ADM) Debbie Aguilar.

LPA Marrufo toured the facility inside and out. LPA toured the kitchen area. LPA observed locked storage areas for sharp objects and cleaning supplies. LPA observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days in the kitchen and food storage areas in the garage. LPA reviewed the first aid kit and observed it to be complete.

LPA toured 7 out of 7 resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke detectors in each hallway and in each bedroom, and each smoke detector functioned properly when tested. LPA tested the carbon monoxide detector in the kitchen and it functioned properly when tested. LPA toured two out of two resident bathrooms. Each bathroom had functioning lights and available soap and paper towels. The water temperatures from the bathroom sinks were 110 F and 111 F. LPA toured the outside of the facility and observed the outdoor exit to be clear of obstructions.

LPA reviewed the Centrally Stored Medication and Destruction Record (CSMDR) for residents R1-R6. Residents R1 and R2 each had a medication that was not recorded in their CSMDR. LPA reviewed six out of six resident records and four staff records and found them to be complete. The Emergency Disaster Drill Log indicates that the last drill was conducted on 03/01/2025.

A deficiency was cited as per California Code of Regulations Title 22. This report was reviewed with ADM Debbie Aguilar and a copy of this report and appeal rights were provided.