Facility Evaluation Report
Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Sandy Zipagan. During the visit, LPA observed 0 residents and 2 staff. LPA explained the purpose of the visit.
LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 4 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. LPA toured the garage, which is being used as a storage space for to vehicles and general storage. The front yard and backyard were inspected. There was no obstruction to block the walkways.
Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 112 degrees F in resident bathrooms.
Fire extinguisher was serviced in June 5, 2024. The facility was equipped with a centralized sprinkler system. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on November 10, 2024.
LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA's reviewed 3 resident P&I records. LPA conducted interviews with 1 staff. Residents were attending day program during LPA's visit.
No deficiencies cited during today's visit. This report was reviewed with Administrator Sandy Zipagan and a copy of the signed report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction