Facility Evaluation Report

April 22, 2025 09:30 AM Licensing Program Analyst (LPA) Kayla Adkison and Licensing Program Manager (LPM) Lauren Crocker arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA and LPM were greeted at the door by Caregiver, Kelly Wolfe, and were allowed access to the facility. Administrator Stacey Baxter arrived approximately one hour later.

LPA, LPM, and Caregiver Kelly toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to six (6) resident rooms, common areas, four (4) bathrooms, kitchen, med room and exterior yards. Staff and resident files were reviewed. Medications were also reviewed. LPA observed medications to be locked and inaccessible to residents.

The common area was clean, odor-free and in good repair. All bedrooms had required furniture, bedding, and lighting. Two resident rooms were odorous. One bathroom was locked and determined to be out of order. The kitchen was clean and in good repair. Cooking/dining equipment and utensils were present. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food.

The facility was observed to be at a comfortable temperature. LPA observed multiple fire extinguishers which were serviced in January of 2025 Hot water temperature measured 116 degrees F. There is a schedule of activities planned for the clients. All required postings are displayed within the facility.

Many topics were discussed. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. An exit interview was conducted. A copy of this report and appeal rights were provided to Resident Care Coordinator.