Facility Evaluation Report

Licensing Program Analyst (LPA) JoAnn Rosales conducted a Case Management - Deficiencies visit at the facility. LPA met with Administrator Mirvat Yacoub.

During initial entry screening with staff Mangacop at 10:26 am LPA observed Clorox disinfecting wipes on a table in the living room accessible to residents. During facility tour with Administrator at 10:28 am LPA observed laundry detergent, laundry sanitizer bleach, toilet bowl cleaner, wood cleaner, hardwood floor cleaner, liquid plumr, fabuloso multi purpose cleaner in an unlocked cabinet in the garage accessible to residents as the door leading into the garage was left propped open. Administrator stated that they keep the door locked when they are not in the garage. During facility tour with Administrator at 10:33 am LPA observed dish soap on kitchen counter sink and knives and scissors in a kitchen drawer that were accessible to residents. Administrator stated that they notified their maintenance person today that the lock was not working properly. A review of all resident records starting at 11:38 am revealed that all 6 residents in the facility are at risk based on their diagnosis.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D).

Exit interview was conducted, today's reports and appeal rights were reviewed and emailed to the Administrator.