Facility Evaluation Report
Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 10:06 AM. LPA met with facility staff who contacted the facility administrator Michelle Racan. The administrator arrived to the facility at 10:56 AM. Entrance interview conducted and the reason for the visit was explained.
Beginning at 10:09 AM, the LPA, along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:
COMMON AREAS : This includes the living room, hallway, and dining room. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contains a dining table with adequate seating for resident use. LPA observed the dining room to contain two (2) secured cabinets which contained resident medications and facility files. LPA observed the living room wall to contain all required postings. The living room was observed to be clean and in good repair. LPA observed a fire extinguisher mounted in the living room to be fully charged and serviced on 08/15/2024. The living room contained adequate seating and activities for resident use. LPA observed the living room to contain an appropriately screened fireplace. LPA observed a hallway closet to contain first aid supplies and extra care supplies. The facility’s fire and carbon monoxide alarms were tested at 10:50 AM and were functional at the time of the visit.
KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured cabinet to contain knives. LPA observed a secure cabinet located under the kitchen sink to contain cleaning supplies. LPA observed an additional fire extinguisher mounted in the kitchen to be fully charged and serviced on 08/15/2024. Continued on LIC 809C.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction