Facility Evaluation Report

Licensing Program Analyst LPA Carol Fowler conducted an unannounced Annual Required Inspection and met with Caregiver, Brenda Lewis and Ana Rodriguez. LPA observed all walkways and exits to be unobstructed.

The facility was a comfortable temperature and well lit. Extra hygiene products and linens were available and required grab bars were observed, flooring is nonskid. Water temperature in resident's bathrooms measured at 112.8 degrees F which are within acceptable range of 105 to 120 degrees F. Toxins are located in the locked cabinet in the kitchen. Food appears to be stored and prepared properly. There is more than a week supply of nonperishable food items, and two day supply of perishable food items available for the number of clients in the home. LPA observed plenty of fresh fruit and snacks available to clients. Cash resources are handled by facility Licensee. During the inspection LPA observed bedroom number 6 door is missing and needs to be replaces. Fire extinguisher located in the kitchen and hallway were last inspected March 15, 2023 & within regulation. Smoke detectors with combined Carbon monoxide detector were tested and functional. Staff and resident records were reviewed & found them to be current. Staff First Aid certificates are current. Last disaster drill was performed September 19, 2023.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. This report was read & discussed with Administrator Brenda. Appeal rights were provided.

Exit interview conducted and copy of this report and appeals rights provided.