Facility Evaluation Report

12/04/2025 09:30 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with Ashlynn Kelley administrative assistant and Michaela Zogeas Resident Care Coordinator. Executive Director Stacey Baxter was unavailable for the visit.

The Department received notification that the facility fire alarm system has been experiencing ongoing issues which has generated a significant number of false alarms. In 2023 the alarm panel experienced a failure that was temporarily repaired using older parts. The contractor performing the work advised that the panel was near the end of its service life, was experiencing persistent problems, and should be replaced no later than October 6, 2025. On November 13, the contractor emailed the owner, Executive Director, and local fire authority with a formal proposal to replace the system. To date the system has not been replaced.

Based on interviews and evidence obtained during the investigation, the preponderance of evidence standard has been met, therefore, and 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.