Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. LPA was greeted by Maria Caruso-DSP and Tina Currano-LVN from Maxim (an outside agency) and explained the purpose of the visit. At 1:30pm LPA spoke with Administrator-Nichelle Mathis who authorized Zinnia San Pedro-LVN/DSP to sign the report. The Adult Residential Facility (ARF) is licensed for four (4) non-ambulatory adults, one (1) of whom may be bedridden. Current census is four (4) ambulatory clients. The program is vendorized through the Frank D. Lanterman Regional Center.

At 2:2pm, LPA toured the facility and observed the following:

Required postings were observed in the office area, immediately to the right side of the entry door. Facility has several exit doors; the front entry is the main exit. There are two exits in the dining room, one at the end of hallway and one in bedroom#1. All exit doors have functional auditory alarms. There are four fire extinguishers, one in the dining room, one in the office area, one in kitchen and one in the laundry cabinet. All four fire extinguishers were serviced on 01/21/2026. Facility conducts quarterly fire and earthquake/safety drills, the last drill was conducted on 04/03/2026. The dual smoke alarms and carbon monoxide detectors are interconnected. At 1:40pm the smoke/carbon monoxide detectors were tested and observed to function properly. Facility offers a land line telephone, internet and cable access for client use.

Kitchen: All appliances and kitchen surfaces were observed to be clean and sanitary. Knives and sharp objects are stored in a locked cabinet. The cleaning supplies were stored locked in a cabinet underneath the sink. LPA found a sufficient supply of perishable foods (2 days) and non-perishable food (7 days), in the cabinets and refrigerator/freezer. All foods in containers were observed to be labeled and dated.