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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415600934
Report Date: 06/30/2023
Date Signed: 07/03/2023 09:37:32 AM


Document Has Been Signed on 07/03/2023 09:37 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:ICAREFACILITY NUMBER:
415600934
ADMINISTRATOR:MIRANDA-SUNGA, SHERYLL APHFACILITY TYPE:
740
ADDRESS:714 SOUTHWOOD DRIVETELEPHONE:
(650) 243-8889
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY:6CENSUS: 5DATE:
06/30/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Dominga EscanoTIME COMPLETED:
04:45 PM
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LPA Grace Donato made an unannounced annual visit to the facility. LPA met Caregiver Dominga Escano. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including resident rooms, common areas, kitchen area and garage. The indoor and outdoor passageways were free of obstruction. LPA observed some residents were in the dining area watching tv. there were also residents in the living room area that are resting. A comfortable temperature of 70 deg F is maintained and lighting is sufficient for comfort. Hot water was also tested in the bathrooms and the temperature was 120 deg F. The residents have adequate number of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. LPA observed sharps, toxins and chemicals to be locked and inaccessible to residents.

LPA reviewed 2 resident records and 3 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Facility has a certified administrator on site with complete certification and training requirements. Facility accepts hospice residents and are in compliance with the required waiver requirements.

Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

LPA interviewed 2 residents and 2 staff members. All staff are very competent with regards to the care of the residents.
SUPERVISOR'S NAME: Jackie JinTELEPHONE: (714) 319-3786
LICENSING EVALUATOR NAME: Grace DonatoTELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SF COASTAL AC/SC, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ICARE
FACILITY NUMBER: 415600934
VISIT DATE: 06/30/2023
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LPA requested licensee to submit the following and was received in the facility at 07/07/2023:

LIC 309 Administrative Organization
LIC 308 Designation of Facility Responsibility
LIC 610D Emergency Disaster Plan
LIC 500 Personnel Report
Administrator Certificate
Certificate of Liability of Insurance

No deficiencies are cited at this time. Report is reviewed with and a copy is provided.
SUPERVISOR'S NAME: Jackie JinTELEPHONE: (714) 319-3786
LICENSING EVALUATOR NAME: Grace DonatoTELEPHONE: (714) 293-8294
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC809 (FAS) - (06/04)
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