Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Wallace conducted an unannounced Required 1 Year Inspection Visit. LPA met with administrator and explained the purpose for today's visit. Administrators Administrator's Certification expires 02/25/2023. There are currently 8 residents who reside at this home.

LPA and Licensee inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity areas, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2 day perishable and 7 day nonperishable.

Fire extinguishers were inspected 9/6/22 . Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 109.2 degrees which is within the required range of 105-120*F. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible.

LPA reviewed 2 Staff and 2 Resident files that were locked and readily available for review. Staff had current First Aid/CPR certificates.

There were no deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22.

Exit interview conducted with Licensee and a copy of report left at facility