Facility Evaluation Report

On 12/8/23, Licensing Program Analyst (LPA) Tung Truong arrived at this facility unannounced to conduct an annual inspection visit. LPA met with facility representative Nessy Abella and explained the purpose of the visit.

Administrator holds current certification #6008758735 and expires on 12/7/2023. It was learned that renewal application was submitted last week. The facility is licensed for 6 residents. 4 ambulatory and 2 non-ambulatory. There are currently 4 residents who reside at this facility.

LPA toured the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms; client bathrooms, laundry area, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the doors and baseboards were not clean. LPA observed insufficient furniture and equipment in client rooms. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The hot water temperature was measured at 107.2*F which was not within the required range of 105-120*F. The administrator was advised to reduce the water temperature to be within required range. The temperature inside the facility measured at 75*F which was within the required range of 68-85*F.

LPA observed the centrally stored medications area to be locked and inaccessible to client. LPA observed the fire extinguisher(s) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair.