Facility Evaluation Report

On 6/24/24 atv approximately 12:45 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Administrator Irene Garde and explained the purpose of today's visit. The Administrator holds a current Administrator's certificate good through December of 2024. The inspection tool was used during the course of this visit.

LPA Jensen toured the exterior. All paths were clear of obstruction. The backyard has patio furniture and a shaded area for client use. LPA Jensen observed a variety of debris stacked against the facility exterior including but not limited to a discarded mattress, broken chair, a stack of LED light bulbs. LPA Jensen also observed numerous cigarette butts on dry grass which potentially creating a fire hazard. A window screen with a tear was observed and the self latching spring on the rear gate was inoperable. LPA Jensen toured the interior of the facility. The thermostat was set at 78 degrees which falls within the required range of 68-85 degrees Fahrenheit. The bathroom water temperature was measured at 105 degrees and is compliant. All required postings were observed on the walls displayed in prominent locations. There are night lights available in the hallway. All toxins. medications and knives were locked and inaccessible to residents in care. The first aid kit was observed to be complete and in compliance. The fire extinguisher was last serviced in May of 2024 and is in compliance. The smoke detector and carbon monoxide detector were observed to be in good working order. The emergency disaster plan was reviewed and is in compliance. LPA Jensen toured the kitchen. Cabinets were observed with loose hinges and the kitchen linoleum is starting to tear. There was a 2 day supply of perishable food and a 7 day supply of non-perishable food. There is an adequate supply of linens available. LPA Jensen observed stains on the carpeting in every room and insects at the fire exit door in client bedroom. LPA Jensen reviewed 2 of 2 staff files and 5 of 5 client files. The files were determined to be complete and in compliance. The liability insurance was reviewed and determined to be complete and compliant. Deficiencies are being cited pursuant to the California Code of Regulations (CCR). Failure to correct deficiencies may result in the assessment of civil penalties. An exit interview was conducted and a copy of this report and appeals rights were provided.