Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. LPA met with Priyanka Samarkoon-Administrator and informed her the reason for the visit. Facility is licensed for 3 non-ambulatory adults. Current census is three (3), two (2) of whom are non-ambulatory. The program is vendorized through the Frank D. Lanterman Regional Center.

LPA toured the facility with the Administrator at 10:35 am and observed the following:

Facility is a one story house in a residential area. Required postings were observed by the entry door and in the office area. The physical plant appeared clean, sanitary and comfortable with no visible immediate hazards. There are two (2) fire extinguishers, one (1) in the kitchen, one (1) in the hallway. Both fire extinguishers were serviced on 04/19/2025. Facility conducts monthly fire and safety drills, the last fire drill was conducted on 07/15/2025. In addition, the facility conducts disaster/earthquake drills monthly, the last disaster/earthquake was conducted on 07/15/2025. The smoke alarms and carbon monoxide detectors are hardwired and interconnected. At 11:23am the smoke/carbon monoxide alarms were tested and observed to function properly. Facility is equipped with cameras at the front and backyard areas. Facility has three exit doors, the front entry, one in the kitchen and one in bedroom #3.

Common Areas : Include a living room and dining room. A television set and activities/games were observed in the living room. LPA observed an electrical generator in the dining room. There is a screened, non-operational fire place in the dining room. The common areas were properly furnished with ample chairs and tables for the number of clients. The walls, floors and the furnishings were clean and without damages. LPA observed the food menu and the weekly activity information, posted in the dining area.