Facility Evaluation Report

On 03/26/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Chantelle Browning and explained the purpose of the visit.

LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, backyard, shed, and common restrooms.

LPA observed each bathroom to have the necessary grab bars, paper towels, trash can with lids and 20-second hand-washing poster. LPA observed the bathroom to be in need of repair, the outside of the bathtub and the wall near the tub appear to have mold and are in need of repair. LPA observed the residents bedrooms to have all the required furnishings, windows with screens and working lights.

Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured within the required range. LPA observed the dishwasher and freezer to be in need of repair which was leaking water. LPA observed chemical toxins to be stored under the kitchen sink accessible to the residents.

LPA observed two (2) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed the first aid kit to be complete and ready for use. LPA was unable to review the emergency disaster plan as it was incomplete, and there were no emergency disaster drills conducted in the last 12 months.

LPA reviewed a total of four (4) residents' files and two (2) staff files which contained all of the required documentation.

Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code.

An exit interview was conducted, and Plans of Corrections were reviewed and developed collaboratively. A

copy of this report, LIC 809-D, and Appeal Rights were discussed and provided.