Facility Evaluation Report
Licensing Program Analyst (LPA) Steve Chang conducted a unannounced annual inspection visit and met with Administrator (ADM) Jennifer Ryder and assistant administrator Johannes Schlitz.
LPAs checked 3 resident record files and 3 staff record files.
LPA observed 2 staff in the facility. All the 5 residents are on vacation and will be back this afternoon.
LPA toured the facility inside out with ADM. LPA toured living room, family room, kitchen, dinning area, and laundry room. Medication room, knives closet, and cleaning product room were observed locked.
There are 5 resident bedrooms, 6 staff rooms and 7 restrooms in the facility. Room temperature was observed at 69 degree F, and hot water temperature was observed at 118 degree F. The temperature of refrigerator was observed at 38 degree F, and the temperature of the freezer was observed at -2 degree F. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. First aid box, flash lights, and night light were observed in the facility. The last time the facility conducted the emergency drill is 5/14/2024.
The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm system. ADM tested the smoke and carbon monoxide detectors, and they were working fine. The fire extinguishers were observed on service on 03/11/2024. There is a pool at the backyard and was observed locked. LPA inspected the backyard, there was no obstruction to block the walkway.
No citation noted today. Exit interview was conducted with ADM. The reports were 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