Facility Evaluation Report

10/09/2025 01:00 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced and met with Executive Director (ED) Stacey Baxter.

When LPA entered the facility a pronounced mildew odor was observed. LPA toured the facility with the ED. LPA inspected staff restroom that is located in the lobby area and observed an even stronger smell of mildew. LPA inspected the facility kitchen and observed a floor drain that had a very strong mildew odor. LPA reviewed facility sketch and found an electrical room to be located adjacent to the kitchen. LPA inspected the facility electrical room and observed that a large hole had been cut in the center floor of the room. In that hole LPA observed signs that the area had recently been wet and was now being dried by a construction grade fan blowing air into the hole. It seems the licensee is aware that there is an issue and is taking action. However, LPA has issued a physical plant citation this date and requests that the issue be diagnosed and repaired by a licensed contractor who will obtain the required construction permits from the appropriate government authorities.

Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), is being cited on the attached LIC809D. Appeal rights were provided. Exit interview was conducted and the report was provided to Executive Director Stacey Baxter.