Facility Evaluation Report
01/14/2025 09:45 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator/licensee David Bortz. Administrator cert #7001864735 exp. 07/05/2025. LPA explained the purpose of the visit.
LPA Knight and staff toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to five (5) client rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared.
The facility takes the clients out on group outings in the community at the client's choosing. Activities in the home are tailored to the client's preferences and abilities. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet.
The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area, bathrooms, kitchen and storage areas were observed to be clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and were inspected in February 2024. Smoke detectors are all operational. No pools/bodies of water are on premises. The facility has been conducting emergency disaster drills every 6 months and fire drills monthly.
LPA requested the following to update the facility file: LIC500 Personnel report, administrator certificate.
The following deficiencies were observed during the inspection and are documented on the attached LIC809-D. LPA observed discarded washer and other debris that needs to be removed from the side yard of the facility.
Exit interview conducted and copy of report was provided to licensee David Bortz.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction