Routine inspection·February 14, 2025

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Evonne Evien, Designated Administrator. LPA announced the purpose of the visit. LPA observed 6 resident and 2 staff. During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature was measured at 43 degrees F and freezer temperature measured at 1 degrees F. LPA toured 6 residents bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 111-113 degrees F. LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 03/13/2023. LPA reviewed Fire and Earthquake log last disaster drill was conducted on 11/12/2024. ADM tested the smoke detectors in the hallway and found the smoke detector to function properly when tested. LPA reviewed 3 resident records and 3 staff records. LPA observed 3 staff records to be incomplete missing required documents. ADM reviewed 3 resident Centrally Stored Medication. Deficiency was cited as per California Code of Regulations Title 22. This report was reviewed with Designated Administrator Evonne Evien and a copy of this report and appeal rights were provided.