Facility Evaluation Report

On 10/27/2025 at 10:30AM, Licensing Program Analysts (LPAs) James Sampair and Andrew Christy arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPAs stated the purpose of the visit to Executive Director Melody Allen. The facility currently houses 243 residents out of a max capacity of 300 residents.

LPAs toured the entirety of the facility. Sharps and dangerous items were inaccessible to clients. One body of water was observed behind a locked door and inaccessible to residents. Client rooms were observed to be cleaned and fully furnished. Indoor passages were free of obstruction. Fire extinguishers were observed to be full and last serviced on 07/02/2025. Temperature in the facility was measured at 71.3 degrees Fahrenheit at 10:30AM. The hot water temperature in the kitchen was measured at 108.7 degrees Fahrenheit.

The LPAs reviewed the records of ten (10) residents and five (5) staff members. The Emergency Disaster Plan was last reviewed 03/21/2025. Quarterly emergency drills were last conducted 09/15/2025.

The following deficiency was cited during the inspection:

All but one employee file was missing the Health Screening (LIC503) along with the TB test.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. 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 and a copy of this report, along with appeal rights, was provided to the executive director.