Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. LPA met with Francisca Chamu-Administrator and explained the purpose of the visit. The program is vendorized through the Frank D. Lanterman Regional Center. The Adult Residential Facility is licensed for 6 non-ambulatory adults, ages 18 through 59. Current census is six (6) residents.

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

Required postings were observed in the hallway. The front entry is the main exit door and the secondary exit door is located in the hallway, leading to the backyard. Each of the bedrooms also have exit doors with alarms on each door. All the exit doors are clearly marked with "Exit signs" above the doors. There are four fire extinguishers, one across the entry door, one in the hallway, one in the basement and one in the Accessory Dwelling Unit (ADU). All four fire extinguishers are fully charged on 05/16/2025. Facility conducts monthly fire and safety drills, and quarterly earthquake drills. The last fire and earthquake drill was conducted together on 08/04/2025. The smoke and carbon monoxide detectors are battery operated.

At 11:11 am the smoke/carbon monoxide detectors were tested and observed to function properly.

Kitchen: The kitchen appliances consisted of a refrigerator, stove, dishwasher and microwave and the fixtures were observed to be functional. Knives, cutlery and sharp kitchen objects are stored in locked in medicine cabinet, in the hallway next to the kitchen. The cleaning supplies were also locked in cabinet underneath the sink. LPAs found a sufficient supply of perishable foods (2 days) and non-perishable food

(7 days) supplies, with sufficient amount of dishes. All kitchen surfaces and cabinets were observed to be clean and sanitary.