Facility Evaluation Report

Licensing Program Analyst (LPA) Nakagawa and Contreras arrived unannounced to conduct a Case Management visit and met with administrator Jacqueline Hicks. The purpose of the visit was to ensure that the delayed egress was properly functioning and regular maintenance is occurring.

LPAs toured the facility and found the facility to be clean and organized. Resident rooms were clean and furnished appropriately as per Title 22 regulations.

LPAs toured exterior of the facility and found it to be clean and free of debris. Delayed egress gate was tested and found to not be activated. Staff tested and found it to be operational but staff had failed to turn it on. LPAs discussed with administrator the importance of staff training regarding safety protocol.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted with Administrator and a copy of this report was given .