Facility Evaluation Report

On 11/19/2025 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Haja Carew and explained the purpose of the visit. Area Director, Jasmine Williams arrived 30 minutes later.

LPA toured the facility including but not limited to activity rooms, resting room, common areas, bathrooms, and kitchen. Smoke detectors are interconnected with sprinkler system. Fire extinguishers were observed to be full and last serviced on 10/9/2025. Clients bring lunches from home/residential facilities. Facility has snacks and water available. Hot water temperature in the hallway bathroom was measured at 110.4 degrees F. All observed toilets and hand washing stations are maintained in a safe, sanitary, and operating condition. There are no bodies of water observed. First aid kit was complete. Last disaster drill was conducted on 10/22/2025. LPA reviewed 5 clients and 3 staff files starting at 9:45AM. Staff are fingerprint cleared and associated to the facility.

At 10:30AM, LPA observed clients does not have a current Individual Program Plan or Appraisal Needs and Service Plan on file during record review.

At 11:30AM, LPA observed S2 and S3's files were incomplete and missing documents.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights was provided.