Facility Evaluation Report

Licensing Program Analysts (LPAs) Jaynae Boyles and Rebecca Knight arrived at the facility unannounced on 8/25/23 to conduct a Required-1 Year Inspection.

LPAs conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are three (4) bedrooms and one (2) bathroom for resident use. LPAs observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 110 degrees F.

LPAs checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPAs observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPAs observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke detectors and carbon monoxide detector are operational. Fire extinguisher and first aid kit are maintained and ready for emergency use.

LPAs checked medication storage and found medication to be locked away and inaccessible to the residents. LPAs reviewed (4) resident files and also reviewed (4) staff files. Licensee will provided a copy of certificate of liability insurance to the LPA.

As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report given at the conclusion of this visit.