Facility Evaluation Report

On 12/15/2023, Licensing Program Analyst LPA K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by House Manager Damon Bly.

LPA conducted tour with Staff. The facility was observed to be at a comfortable temperature, clean, in good repair, with no passageway obstructions or fire hazards. LPA observed a 7-day supply of non-perishable foods and a 2-day supply of perishable foods. Fire extinguisher in the Kitchen was last serviced on 09/7/2023 and was fully charged. All common areas were properly furnished and well-lit throughout. Medications, First Aid, and Sharp items locked in the Staff office closet. Smoke Alarm and Carbon Monoxide detector tested and operational. LPA toured 4 resident rooms and an office. All client bedrooms toured and observed to be adequately furnished. At 9:46 AM LPA observed window screens to be bent/broken. Extra linens observed in the hallway closet. LPA tested the water temperature in the bathroom at 113.5 degrees. LPA toured laundry area which appeared clean. Cleaning supplies and chemicals observed locked in cabinet next to laundry. The exterior tour was conducted. The backyard was observed to have sufficient seating. The pool was gated and locked. Sufficient covered area for recreational use. The backyard gate was self-latching and self-closing. Medication was reviewed. Staff records were reviewed for good health and training, all clients’ records reviewed to have Admission Agreement, Physician’s Report and emergency contact information. Last fire drill completed on 12/5/2023. At 11:45 AM LPA observed during record review the resident funds did not match the amount shown on the ledgers

Deficiency is being cited on the attached 809D in accordance with California Code of Regulations, Title 22,