Facility Evaluation Report

On 08/08/25 at 1:30 PM, LPA L. Holmes conducted a case management visit to discuss the implementation of a fire watch and a plan going forward to bring the facility into compliance.

LPA and ADM discussed the details of the fire watch for the addition of a staff room, required requested documents by CCLD, and the results from the fire drill conducted on 08/01/25 at Raksha 4. On 08/01/25, LPA requested the following documentation as soon as possible in addition to the Albany Fire Department requesting a strategy by close of business on 08/01/25; to date the documentation has not been received.

1. Written plan designating one specific staff to perform fire watch around the clock.

2. The names of the staff assigned to such duty. One person or more for each shift, not one person covering the 24-hour shift.

3. The individual designated will perform only fire watch/walk the perimeter looking for fire/fire hazards. The plan should be clear that the fire watch staff on-duty is strictly performing fire watch only NOT in addition to caregiving.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D.

Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties .

Exit interview conducted, Appeal Rights, and a copy of this report provided.