Facility Evaluation Report

Unannounced annual visit made out to this facility on 04/21/2022 by Licensing Program Analyst (LPA) Charlie Yang and was met by the facility caregiver, April Vasquez, who was requested by this LPA to contact the facility designated Administrator, Jeevanjoat Sandhu, to inform him that CCL was present at this time.

The facility designated Administrator, Jeevanjoat Sandhu, arrived shortly thereafter to this facility. Brief interview was conducted with the facility designated Administrator.

Current census was 4 residents, of which one resident, was out of the facility at their respectable day program at this time.

This facility is also vendorized to accept and retain Level 4I residents through Mountain Valley Regional Center.

Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Tour of the resident bedrooms was conducted. Bedroom furniture and furnishings were observed to be in good repair and able to meet the needs of the residents at this time.

Tour of the resident restrooms was conducted. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees.

Fire extinguisher, located in dining room, was reviewed to make sure that it had been annually inspected and in compliance at this time.

Laundry room, located adjacent to the garage area, was toured. Laundry detergents, cleaning supplies, and bleach were all observed to be locked and made inaccessible to the residents at this time.

A tour of the garage area was toured. Additional food storage units were observed to be present.

A review of the facility 2-day perishable and 7-day nonperishable food quantities was conducted.

Medication cabinet, located in the dining area, was reviewed.

First aid kit was observed to be present and contained all of the required components at this time and observed to be in compliance.