Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Monica Hernandez.

During visit, LPA toured the facility inside and out. LPA toured the facility kitchen area and the food storage area. LPA observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days.

LPA toured 8 out of 8 resident bedrooms and observed each bedroom to have working lights and available bedding and clothing storage areas. The facility smoke detector system was tested during visit and found to function properly. LPA tested two out of two carbon monoxide detectors and found them to function properly. LPA toured 3 out of 3 resident bathrooms and observed each bathroom to have available soap and paper towels as well as working lights. LPA measured the water temperatures in the bathroom sinks and they measured at 105 F, 115 F, and 119 F.

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

LPA reviewed 5 resident records and Centrally Stored Medication and Destruction records and found them to be complete. LPA reviewed 3 out of 3 Personal and Incidental Money Logs and found them to be balanced. LPA reviewed 5 staff records and found them to be complete.

No deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Monica Hernandez and a copy of this report was provided.