Facility Evaluation Report

Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct a Post-Licensing Inspection. There are currently 6 residents at the facility. There were 2 staff on duty at the time of inspection. Caregiver Dinah Belandres arrived at 9:45AM and Administrator Rose Devera arrived at 10:00AM.

The facility was clean and well-organized, and a comfortable temperature. All signage was up and in a highly visible location. One resident was resting in the living room, supervised. The other resident were resting in there bedrooms with a family member visiting in bedroom #3.

The kitchen was well stocked with perishable and non-perishable food items, as specified in Title 22. Opened containers will need to be labeled and dated. The facility was a comfortable temperature. Residents were clean and dressed appropriately. The fire extinguisher was accessible and fully charged last serviced on 06/13/2023. Carbon monoxide (1) and smoke detectors (8) alarms were tested and operational. Medications were locked and inaccessible to residents and unauthorized persons. Bathrooms were clean and equipped with hand grips and non-slip mats.

Inspection of 2 out of 2 resident files showed that Admissions Agreements and Physician's Reports were up to date. 2 out of 2 staff files showed that staff are up to date on training and have first aid and CPR.

LPA observed unlocked chemicals under kitchen sink with lose lock

LPA observed unlocked sharps (scissors and knife)

LPA observed unlocked laundry detergent and fabric softener

LPA observed a wheelbarrow with tools (saw/hedge cutter/pliers)

LPA observed water temperature 134.7 and 132.4 in residents bathrooms

LPA observed staff not fingerprinted and not assigned to the facility