Facility Evaluation Report

On 1 1/7/2024 at 10:05am, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Ann Jennifer Coching, Caregiver. Administrator, Donnie Aloot, arrived at 10:58am.

LPA arrived to confirmed if facility has a working land-line phone. S2 was able to give LPA new facility number. Facility had failed fire inspection conducted on 10/29/2024, for not having a permit for alterations and for non-ambulatory residents.

*An immediate $500.00 civil penalty will be assessed on today's date for fire clearance*

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. A copy of the appeal rights, LIC421M, and this report provided.