Facility Evaluation Report
On 10/18/23 at 8:45 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and met with Administrator Luis Ruiz. Program Supervisor Ismael Talavera arrived later in the inspection.
LPA toured the inside and outside of the facility. Facility has secured perimeter and delayed egress. Facility set at comfortable temperature. Fire alarm pull station installed. A smoke and carbon monoxide combo detector tested and operational. Bedrooms were checked and residents do not share bedrooms. Food supply was checked. Chemicals and cleaning supplies were checked. Sharps observed inaccessible in kitchen drawer. Medications observed locked and inaccessible in a medication cart. Fire extinguisher last serviced 12/13/22. Hot water in second shared bathroom measured 117.1 degrees F. Sample of resident and staff files reviewed. Administrator certificate valid, Certification # 6056907735.
No deficiencies cited during this inspection.
The following updated forms are to be submitted to CCL within two weeks:
Exit interview conducted. A copy of this report was given to Administrator, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction