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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415601112
Report Date: 11/18/2021
Date Signed: 11/18/2021 03:32:35 PM

Document Has Been Signed on 11/18/2021 03:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MILLBRAE ASSISTED LIVING HOMEFACILITY NUMBER:
415601112
ADMINISTRATOR:PO, GINGERFACILITY TYPE:
740
ADDRESS:1001 HEMLOCK AVETELEPHONE:
(650) 689-5776
CITY:MILLBRAESTATE: CAZIP CODE:
94030
CAPACITY: 48CENSUS: 35DATE:
11/18/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Mary Ann Lucero and Jason MullenTIME COMPLETED:
03:00 PM
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Applicant Millbrae Assisted Living Home LLC, represented by COO Jason Mullen, has applied for RCFE licensure for 48 bedridden elderly persons. Fire clearance has been approved. Facility is currently operated as Millbrae Assisted Living Center LLC #415600904.
LPA Jeung toured facility and grounds of this 2-story facility. There is one elevator and 2 stairwells, 7 shared rooms on ground floor and 17 shared rooms on second floor; all rooms have a private bathroom. On the ground floor, there are 2 offices, medication room, kitchen, living and dining rooms. On the second floor, there is a common TV room and laundry room. Facility sketch accurately reflects floor plan. Medications are secured in medication room and toxins are secured in locked maintenance room on ground floor. Food preparation and service items are present, as well as perishable and non-perishable food. Supplies of bed and bath linens and PPE are maintained. Hot water temperature tested randomly in first and second floor rooms within range of 105 and 120 degrees F after adjustment. There is an emergency call system installed in each bedroom and bathroom, that transmits audible and visual signal to reception desk on ground floor.
The following items are observed and must be addressed prior to licensure:

1. Additional COVID signs must be posted--cough/sneeze etiquette, reminders to practice social distancing and wear masks.
2. There is no COVID visitation policy posted at front door.
3. Emergency Disaster Plan (LIC610E) is incomplete. See LIC9102TV.
4. Additional carbon monoxide detector to be installed on second floor. See LIC9102TV.
5. Personal Rights posted are incomplete. See LIC9102TV.
6. Activity calendar must be posted. See LIC9102TV
7. Nondiscrimination notice should be posted. See LIC9102TV.
8. Bedridden plan of operation has not yet been submitted to CCLD. See LIC9102TV.
9. Additional evacuation chair must be present. See LIC9102TV.
Continued on page TWO
SUPERVISORS NAME: Julio Montes
LICENSING EVALUATOR NAME: Audrey Jeung
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2021
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: MILLBRAE ASSISTED LIVING HOME
FACILITY NUMBER: 415601112
VISIT DATE: 11/18/2021
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Continuation:

10. Liquid soap should replace bar soap in shared bathrooms. See LIC9102TV.

Items above will be addressed and shall be verified by LPA prior to licensure.

Facility phone number is 650/689-5776.

Component III orientation is completed and discussed with Ms. Lucero and Mr. Mullen.
SUPERVISORS NAME: Julio Montes
LICENSING EVALUATOR NAME: Audrey Jeung
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC809 (FAS) - (06/04)
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