Facility Evaluation Report

At approximately 9:45 AM Licensing Program Analyst (LPA) Stevenson arrived unannounced for the purpose of conducting a Case Management-Legal/Non-compliance (NCC) Inspection and met with caregiver Martha Reyes who has Designation of Facility Responsibility (DFR). Administrator Madonna Martinez was called to advise of NCC inspection, but was not able to attend as she was at a sister facility.

This facility was placed on a non-compliance (NCC) on 06/26/2024 for a two-year term by Community Care Licensing (CCL); Concerns addressed in NCC meeting on 06/26/2024 were:

Active Administrator in place for facility oversight per regulation

Timely response to CCL when communication is engaged

LPA was advised that there were five (5) residents in care, one (1) of which is on hospice.

At approximately 10:05 AM LPA and caregiver/DFR conducted a wellness and safety walk-through of facility, finding it at a comfortable temperature, clean, odor free, exits free from obstructions and well organized. Residents were clean and dressed appropriately. There was an ample supply of hygiene products for residents' care. There was also an ample supply of healthy perishable and non-perishable food as required by Title 22. DFR was reminded of the mandate to label foods in airtight containers with the date they are removed from commercial packaging.

A fire extinguisher in the kitchen was last serviced on 2/16/2024 and observed to be fully charged, DRF was advised to have the device re-inspected or have a new device purchased with the receipt taped to the new extinguisher. Smoke detectors/carbon monoxide detectors are centrally wired and tested to be functional. The front and back yards are well maintained and the back yard pool is fenced and secured as required by regulation.