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 a one story house in a residential area. Facility is licensed for 3 non-ambulatory adults. Current census is three (3), one of whom is non-ambulatory. The program is vendorized through the Frank D. Lanterman Regional Center.

LPA toured the facility with the Administrator at 10:30 am and observed the following:

Required postings were observed 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 near bedroom#1. Both fire extinguishers were serviced on 04/19/2025. Facility conducts monthly fire and safety drills, the last fire drill was conducted on 06/16/25. In addition, the facility conducts disaster/earthquake drills monthly, the last disaster/earthquake was conducted on 06/16/2025. The smoke alarms and carbon monoxide detectors are hardwired and interconnected. At 11:38am 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 multiple exit doors, the front entry, one in the office, one in the kitchen and one near the laundry room.

Common Areas : Include a living room and dining room. The common areas were properly furnished with ample sitting/tables for appropriate number of clients. A television set, library and activities/games were observed in the living room. LPA observed two closets in the hallway, supplied with linens and care supplies.