Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required-1 year visit. LPA was met by Roy Nortiga/Staffing Coordinator and explained the purpose of the visit. Administrator, Rodel Serrano was called on the phone and arrived at 10:30am to assist LPA with the inspection. The facility is an Adult Residential Facility (ARF) licensed to care for six (6) Developmentally Disabled Non Ambulatory Adults, ages 18 through 59. Facility was granted exceptions by Community Care Licensing (CCL) for five (5) clients over the age of 59. All clients residing at this facility receive case management services provided by Frank D. Lanterman Regional Center.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today. At 10:15 LPA conducted the facility tour and observed the following:

Required postings were observed in the office and dining room. The front entry is the main exit but there are additional exists in the kitchen and each bedroom, leading to the backyard. There are four fire extinguishers, one in the kitchen, one in the garage, one in hallway and one in storage closet. All fire extinguishers are fully charged and were serviced on 09/05/2024. Facility has fire sprinklers installed in each room. Smoke and carbon monoxide detectors are not interconnected. At 11:10am smoke and carbon monoxide detectors were tested and observed to be operable. Facility conducts monthly fire and safety drills, the last fire drill was conducted on 06/16/25.

Operational Requirements: Facility has a transportation van with valid car insurance through 09/15/2025. Surety Bond in the amount of $10,000 is in effect and will expire on 05/20/2026. Facility Certificate of Liability Insurance has an expiration date of 07/13/2025.