Facility Evaluation Report

MH Facility LLC, Antioch05/20/2025Licence 079201342

Capacity4
Census1
Date signed05/20/2025 02:27:31 PM
Name of licensing program analystYasamin Brown
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 05/20/2025 at 1:20 PM, Licensing Program Analysts (LPAs) L. Hall and Y. Brown conducted an unannounced annual 1-year required inspection. LPAs met with Administrator Monique Gran and LPAs explained the purpose of the visit. The administrator currently holds a certificate (#7027713735) that expires on 02/15/2024. The facility’s fire clearance was approved for four (4) ambulatory clients.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of three (3) bedrooms and two (2) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for clients is maintained at 72 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 113.2 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. Hand washing poster, paper towel, and soap observed at all hand washing stations. The supply of extra hygiene was available for residents.

Smoke detectors/carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased 03/23/2024. Fire drill last conducted 05/01/2025. The emergency Disaster plan was observed and updated. First aid kit was observed to be complete.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction