Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced 1-year required inspection visit. The purpose of this visit was to ensure the licensee’s continued compliance with California Code of Regulations (CCR), Title 22, Division 6. LPA met with the Facility Administrator (ADM) Ann Marie Zarraga. The facility is currently licensed for a 6-bed capacity and has a current census of six (6) ambulatory only residents who have developmental disability at level 5. LPA observed 1 resident at the facility and is not able to verbally communicate clearly.

LPA Partoza, inspected the facility inside and outside, including but not limited to the exterior perimeter, walkways, backyard, kitchen, dining, 2 bathrooms, 3 residents' room, 1 staff room, living area and garage. LPA observed the kitchen and dining area was sanitary and organized, knives were locked and not accessible to residents in care without supervision. The medication are in a secured locked cabinet. LPA observed 2 days of perishable food items, and 7 days of non-perishable items in the refrigerator and pantry.

LPA inspected 3 resident bedroom, 3 out of 3 bedroom are shared and has sufficient storage (closet and chest drawers) to store the resident's personal belongings. 2 out of 2 bathrooms were inspected, and bathrooms have grab bars and non-skid mats. LPA measured the water temperature for kitchen, and 2 bathroom and temperature ranges from 116.7 degree F in the bathroom and 123 degree F for the kitchen. LPA observed a warning sign in front of the kitchen sink stating "caution water temperature exceeds 125 degree F."