Facility Evaluation Report
Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with administrator (ADM) Avelino Canlas .
3 staff and 3 residents were observed in facility. LPA reviewed 3 staff files and 3 resident files.
License, Administrator Certificate, and personal rights posters were observed at the main entrance.
LPA toured the facility with ADM inside and out. LPA inspected living room, family room, dinning area, kitchen. There are 2 restrooms, 1 staff live-in room, 3 resident rooms in facility. Two days perishable foods and seven day non perishable foods were observed sufficient. The temperature of the refrigerator was observed at 36 degree F, and the temperature of the freezer was observed at 0 degree F. Room temperature was observed at 70 degree F, hot water temperature was observed at 110 degree F. Medication cabinet, knife closet were observed locked. Cleaning products closet was observed locked. The facility was equipped with smoke and carbon monoxide detectors. carbon monoxide detectors was tested, and was working fine. Fire extinguisher was service on 12/12/2024. First aid box, flash lights, and night lights were observed at the facility.
Front yard and backyard were inspected. There was no obstruction to block the walkways. Two storage rooms were observed at the backyard.
The last time the facility conducted the emergency frill was on 11/11/24.
Deficiency noted for today's visit. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction