Facility Evaluation Report
On 8/3/23 at 9:26 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and met with Licensee/Administrator (LIC) Davilyn Mancilla.
LPA toured inside and outside the facility. No obstructions observed. Facility set at comfortable temperature. All bedrooms observed with sufficient furnishings and lighting. Fire extinguisher last serviced 7/14/23. Hot water measured 108.4 degrees F in the hall bathroom. Non-skid mats observed in showers. Grab bars observed for each toilet and shower. Smoke and carbon monoxide detectors tested and operational. 2-day perishables and 7-day non-perishables supply of food observed. Sharps observed locked. Chemicals observed locked in cabinet in garage. Centrally stored medication observed locked. Staff and resident records reviewed.
No deficiencies cited during the inspection.
Exit interview conducted. A copy of this report was given to Licensee, whose signature confirms receipt of this report.
The following updated forms are to be submitted to CCL within 2 weeks:
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction