Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management - Annual Continuation visit and met with Administrator John Gryspos Jr.

During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the kitchen area. LPA observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA Marrufo observed the first aid kit and found it to be complete.

LPA Marrufo toured 11 out of 11 resident bedrooms. Each bedroom had functioning lights and available bedding and clothing storage areas. LPA Marrufo tested the smoke detectors in the bedrooms and hallways and found them to function properly when tested.

LPA Marrufo observed the resident bathrooms and found them to have functioning lights and available soap and paper towels. The bathroom water temperatures were measured at 119 F and 107 F.

LPA Marrufo reviewed the Centrally Stored Medication Logs and the resident and staff records. Resident R1's Physician's Report indicated R1 is diagnosed with dementia and the most recent Physician's Report was from 2021.

LPA Marrufo toured the outside area and found the exits to be clear of obstructions.

A deficiency was cited as per California Code of Regulations Title 22. See LIC809-D for more information.

This report was reviewed with Administrator John Gryspos Jr. and a copy of this report and appeal rights were provided.