Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced, to open an investigation into complaint 21-AS-20260313093610. LPA greeted by Jackie Morris house manager. LPA spoke with Administrator via phone.

LPA toured facility in relation to investigation of complaint 21-AS-20260313093610. LPA observed facility to not have any paper towels in any of the bathrooms or in the kitchen. LPA observed kitchen to not have any soap with which to wash dishes or hands.

LPA asked House Manager (HM) about lack of soap and paper towels. HM explained they ran out. Caregiver had arrived while LPA was speaking with HM and they had a bottle of soap. They put the soap in the kitchen. LPA observed paper towels in the staff office where HM resides. LPA toured the facility and returned to staff office. Paper towels still present, none had been placed in the bathrooms or in the kitchen. Additionally, LPA observed extra linens but linens were not good repair or clean (deficiency cited, see 809D).

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.