Facility Evaluation Report

Unannounced annual visit made out to this facility on 09/27/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility caregivers who were requested by this LPA to go ahead and contact the facility designated Administrator Jatinder Dhillon and inform him that CCL was present at this time. The facility designated Administrator Jatinder Dhillon arrived shortly thereafter to this facility while this LPA was conducting this annual visit. Brief interview was conducted with the facility designated Administrator at this time.

Current census was 4 residents. It was learned that (2) residents were out of the home at their respectable day programs at this time. This facility was vendorized to accept and retain Level 4I residents through Valley Mountain Regional Center.

Administrator certificate was observed to be present and in compliance at this time for facility designated Administrator Jatinder Dhillon. Additional forms and documents were reviewed to make sure that the renewal process was initiated prior to the certificate expiration date of 04/05/2024.

Kitchen area was toured. Cabinets and drawers were reviewed.

Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. This LPA did observe an additional food storage unit which was present and functional at this time in the designated staff room.

A tour of the dining area, living area, and all other areas intended for resident use was conducted.

Medication cabinet, located in the facility office area, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated Administrator. This medication cabinet was observed to be locked and made inaccessible to the residents at this time.

A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Hot water temperature was taken and measured to make sure that it was within the allowed range of 105-120 degrees.