Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. LPA met with Administrator-Nichelle Mathis and explained the purpose of the visit. The Adult Residential Facility (ARF) is licensed to serve four (4) non-ambulatory clients, of which one (1) may be bedridden. The program is vendorized through the Frank D. Lanterman Regional Center. Administrator stated she will be leaving in a few hours and designated Oseni Esther Olufunke to sign the report.

At 10:50am, LPA toured the facility and observed the following:

Required postings were observed the kitchen. Facility has several exit doors; the door in the family room is clearly marked with exit sign and is used as the main exit door. There exit door in the hallway and the front door have ramps for wheelchair. There is a fire extinguisher in the kitchen, serviced on 02/25/2025. Facility conducts quarterly fire and emergency drills; the last fire/emergency drill was conducted on 08/03/2025. The smoke detectors are interconnected. Carbon monoxide detector is battery operated. At 10:55 am the smoke and carbon monoxide detectors were tested and observed to function properly.

Common Areas: Include a dining room and living room at the entry and a family room next to the kitchen. The dining room is furnished with a table and six chairs. The living room is furnished with sofas and a cabinet with supplies of Personal Protective Equipment (PPEs). The family room is has several sofas, a television set and a piano. The floors in living room, family room and kitchen are old and need to be varnished or replaced; citation will be provided.