Facility Evaluation Report

Mimi's House, Concord07/30/2025Licence 079201316

Capacity6
Census0
Date signed07/30/2025 10:43:26 AM
Name of licensing program analystJill Clancy-Czuleger
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 07/30/2025 at 08:55 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Administrator Angeline Girgis and explained the purpose of the visit. Administrator informed the LPA that they do not have any residents at this time, and are waiting to hear back from regional center about getting vendorized.

LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. The facility has a mitigation plan.

The facility agrees to send over a copy of S1 staff file to licensing.

The facility has some projects going around the house including new light fixtures, new faucets, and new furniture being built. The facility knows to have all of the projects completed prior to residents moving into care.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

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