Facility Evaluation Report

On January 6, 2025, Licensing Program Analyst (LPA) Kayla Adkison and Investigator Vincent Moleski arrived at the facility unannounced to conduct a Required Annual Inspection. LPA and Investigator met with Program Manager, Jennifer Wilkes, and explained the purpose of the visit. At the time of the inspection, 22 clients and 10 staff were present in the facility. LPA observed clients to be watching movies and interacting with staff at the time of the inspection.

LPA Adkison, Investigator Moleski, and Program Manager toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to: common areas, sensory room, changing room, four (4) bathrooms, med room, kitchen, and storage areas. Five (5) clients were observed to be strapped into wheelchairs utilizing seat belts. At least (1) one of the clients was observed to not be able to remove the seat belt on their own. Record review showed that the there is no exception for this client on file with Community Care Licensing approving the use of the restraint.

All areas observed were found to be clean and in good repair. LPA observed all walkways and ramps to be free of clutter or obstructions. All clients bring their lunches from home and staff assist with preparation. All cleaning supplies were observed to be kept locked and inaccessible to residents to care. During review of the med room, one (1) unknown medication, which appeared to be a vitamin, was found on the floor.

The facility was observed to be at a comfortable temperature. The fire and carbon monoxide detectors sound directly to the fire department. Fire extinguishers were fully charged and last inspected in February 2025. The last disaster drill was conducted and documented in December 2025. The facility has been conducting drills monthly.

LPA reviewed five (5) staff files and (5) client files. Three (3) of five (5) staff files did not contain current CPR/First Aid certification. Two (2) of (5) five staff did not have Criminal Record Transfers on file and were therefore not associated to the facility. A civil penalty was assess the attached LIC 421BG.

Deficiencies are being cited as a result of this inspection. California Code of Regulations, (Title 22), is cited on the attached LIC 9099-D. Exit Interview conducted. A copy of this report and Appeal Rights were provided to Jennifer Wilkes, Program Manager, via email.