Facility Evaluation Report

Licensing Program Analysts (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with S1 and S2 who stated that they currently living at the facility and the facility is not taking residents at this time. Administrator Christine called LPA and confirmed their statement. The administrator stated that S1 and S2 are in the middle of finding another location to live. The administrator stated the reason why their facility is operating is because they must submit documents to the Regional Center, and it will take another year for the regional center to provide clients. Administrator stated she will get clearance and association for S1 and S2. At 10:20 administrator Christine joined the visit.

Facility is licensed to serve 6 clients 60 years and over. 6 of which shall be non- ambulatory. Hospice wavier approved for 6. The facility is a single story building in a residential area, with a commercial kitchen, dining room, living room, 6 bedrooms, 4 bathroom and 1 office. The backyard shaded sitting area. Facility has a fire sprinkler system throughout the facility.

LPAs discussed infection control practices with administrator, toured the facility inside and out, reviewed food supply. There are no staff files, and resident medications to review due to not accepting residents at this time.