Facility Evaluation Report
Licensing Program Analysts (LPAs) Daiquiri Boyd and Sarah Hurt arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. Caregiver staff called Administrator Lorik Sheakalee and advised that someone was on their way and would be at the home shortly. Mario Ramos came to the home and stated that he is the assistant to the Administrator and assisted on this inspection (LIC308 on file and current for this staff).
The residence was set at 72 degrees F temperature and free of passageway obstructions inside and outside. LPA observed five bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature measured 115.8 degrees F.
Kitchen toured, supply of food observed for perishable and nonperishable. Medication and knives are locked in the kitchen area. Laundry room is locked, and stores cleaning supplies Smoke and carbon monoxide, were checked and operating. Fire extinguishers was purchased on 10/17/2025. Last fire drill was completed on 02/03/2026. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction.
LPA's observed safety door knob covers on resident bedroom leading to exit to backyard, and inside chain lock on door leading to back patio out of reach of residents. LPA's observed Resident 1's levothyroxin medication not listed on Centrally Stored Medication record. LPA's observed resident 1's Medical assessment documents special diet that is not being provided. LPA's observed Resident 2's bedroom does not have required lamp furnishing. LPA's observed resident 2's bedroom window does not have window screen.
An exit interview was conducted, and a copy of this report was provided to Caregiver staff, Mario Ramos whose signature confirms receipt.
LPA requested the following updated forms faxed to CCLD by 02/17/25: Personnel Report (LIC 500), Proof of current Liability Coverage
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction