Facility Evaluation Report

At 10:00am, Licensing Program Analyst (LPA) Angela Panushkina conducted an announced Pre-Licensing visit to this facility and met with the Administrator. This is an initial application. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6.

Today’s site visit consisted of LPA touring the physical plant inside and outside and observed the following:

Facility Fire clearance was conducted on 03/30/23 and approved for four (4) Ambulatory clients only. The facility has dual carbon monoxide and smoke alarm system. There is a fire extinguisher located in the kitchen with a date of purchase of 01/09/2023. There will be a functioning telephone on the premises. An emergency exit plan/sketch is posted in each bedroom and in the hallway wall with other posting requirements. There are four (4) bedrooms designated for clients use. Clients bedrooms were observed to be appropriately furnished. The facility will have an awake staff. There are two (2) bathrooms in the facility. Bathrooms have non-skid mats and appropriate grab bars. Trash cans were observed to have closed tight fitting lids.

The common areas (living room, kitchen, and dining areas) were appropriately furnished, and lighting was adequate. The living room has a television and comfortable furniture. Clients, staff records and medication will be stored in a locked kitchen cabinet. The first aid kit is readily available.

The kitchen knives are stored in a locked drawer. The kitchen cleaning supplies are stored in a locked cabinet under the sink. Laundry detergents, cleaning supplies and other toxins are stored in an attached garage. LPA observed the garage to be locked and inaccessible to clients in care. Facility appears to be clean and in good repair. Appliances in the kitchen appeared to be functional.