Facility Evaluation Report

Licensing Program Analyst (LPA), Cuadra arrived unannounced at the facility for the purpose of conducting a required 1 year inspection and met Licensee, Minerva San Felipe. Annual fees are current.

LPA/Licensee toured the facility and observed the facility to be at a comfortable temperature with all exits free from obstruction. However, during the tour, LPA/Licensee observed the kitchen was clean, but there were insects around the fruit, so LPA/Licensee had a discussion about it. Licensee agreed to re-organize and/or store some items in a different way to keep insects away from the fruit. Fire Extinguisher was found to be last charged on October 2024. All smoke detectors and carbon monoxide detectors were tested and found to be operational during the inspection. Water temperature in clients bathroom measured at 107.1 F degrees, within regulation of 105 to 120 degrees F. There was sufficient perishable and non-perishable foods located in the kitchen. Cleaning products and other toxins are located in the laundry room. There was a supply of linens, cleaners, hygiene products and paper products available for clients. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Clients bedrooms were furnished per regulation. The facility does not handle cash resources. Medications were centrally stored and locked.

LPA initiated file review at 12:00pm. Three client and two staff files were reviewed. All clients have care plans and medical assessments on file. All staff have required CPR/1st aid and required training hours were updated. Administrator certificate for administrator Minerva San Felipe 6017058735 expires 04/18/2025. Medication and medication records were reviewed.

Licensee provided the following documents to LPA: LIC308 Designation of facility responsibility and LIC 500 Personnel report. Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was given to the Licensee.