Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Panushkina and Licensing Program Manager (LPM) Nichelle Gillyard, conducted unannounced visit to this facility in conjunction with a complaint control #31-AS-20250605153846. LPA met with the Staff #1 (S1) and explained the reason for the visit.

During the physical plant tour, conducted at 9:30am, LPA/LPM observed the following:

Kitchen cabinets were missing two (2) knobs and the cabinets were dirty and greasy.

Refrigerator was dirty inside an out with food debrief

Room #3 walls had pealing paint and dirty marks.

Floor planks were in disrepair in various areas of the facility and can be a potential tripping hazard.

The sliding door in the living room did not easily open.

All bathroom cabinets have chipping paint and were soiled and dirty.

The bathroom cabinet (in the master bedroom) was missing a knob.

During the visit LPA/LPM discovered that there is an intent to sell the facility to one of the Staff. H ealth and Safety Code 1569.191(b)(2) was explained.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC809-D.

Exit interview conducted, appeal rights and copy of report signed and delivered.