Facility Evaluation Report
Licensing Program Analysts (LPAs) KaSandra Lopez and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at 10:00 a.m. Upon arrival, the LPAs met with Administrator, Michael O’Neill and the reason for the visit was explained. Entrance interview conducted.
The LPAs toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. There are four (4) resident buildings in total. Two (2) Assisted Living (Maricopa and Sespe) and two (2) Memory Care (Topa Topa and Matilija). The following was noted:
KITCHEN: Each building has their own kitchen and dining area. The LPAs inspected the kitchen/food service area at Maricopa Building at 10:20 a.m. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:31 a.m., the LPAs observed the knives and sharps drawer unlocked and staff was unable to locate key to lock drawer. Refrigerator and food pantry were checked for proper labels and expiration dates. The LPAs inspected the kitchen/food service area at Sespe Building at 10:50 a.m. At 10:51 a.m., the LPAs observed a pair of scissors in an unlocked drawer. At 10:52 a.m., the LPAs observed items unlocked under the sink that included: Waxie Green glass & surface cleaner and Waxie Green all-purpose cleaners. Staff immediately locked cabinet. The LPAs inspected the kitchen/food service area at Topa Topa Memory Care Building at 11:11 a.m. At 11:26 a.m., the LPAs observed a knife on the kitchen counter accessible to residents in care. Staff immediately locked knife at the time of visit.
COMMON AREAS: At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detectors tested were operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 07/19/2023. The LPAs observed required postings throughout the common space. The last fire-drill took place on 05/18/2023. Fireplaces were observed adequately screened. Report continued on LIC 809-C.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction