Facility Evaluation Report

On 9/10/2025 at 10:20AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Sophia Tekle and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide combination detectors were observed. Smoke detectors are interconnected with sprinklers system. Fire extinguishers were observed to be full and last serviced on 11/25/2024. One week of non-perishable and 2-day perishable food supplies were sufficient. Hot water temperature was measured at 107.1 degrees F in the hallway bathroom. All client bedrooms have automatic hoyer lifts and bathroom have hoyer lift installed. Medications were locked in a medication cart. Cleaning supplies and toxins were locked and stored appropriately and inaccessible to clients. First Aid kit is complete. Last fire drill was conducted on 8/14/2025. LPA reviewed 5 clients and 5 staff files starting at 10:45AM. All staff are fingerprint cleared and associated to the facility. LPA reviewed client's P & I money with logs. LPA reviewed a sample of client's medications during inspection.

At 12:30PM, LPA observed S3 does not have health screening on file. Civil penalty of $250 is being assess for a repeat violation.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties.

Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.