Facility Evaluation Report
On 11/8/2023, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Manger Margo Rudy and explained the purpose of the visit.
LPA Boyles toured facility to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, shed, and common restrooms.
LPA observed the facility to be clean and odor-free. LPA observed each bathroom to have the necessary paper towels, trash can with lids and each bedroom to have the required furniture.
Facility has a 2-day perishable and a 7-day non-perishable amount of food.
LPA observed one (1) fire extinguishers, six (6) fire detectors, and two (2) carbon monoxide detectors.
LPA reviewed a total of five (5) residents' files and two (2) staff files which have all the required documentation.
LPA observed mold in the resident bathroom and bedroom.
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.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction