Facility Evaluation Report
On 8/25/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced annual. LPA was met by the Administrator Ashley Jacobs and explained the purpose of today’s visit. The facility has a census of 1.
This facility is a one-story structure located in a residential neighborhood. The facility consists of (1) client bedroom, (2) vacant client rooms (1) staff room (1) bathroom and (1) staff bathroom, living room, kitchen, dining area, patio, garage used for storage. The washer and dryer are located in a closet in the hallway. Facility maintains all required posting throughout the facility.
LPA Shirley and Ashley walked through the kitchen and all appliances were in good working order. Medications were locked in a cabinet located in the kitchen and inaccessible to residents. All knives and sharpes were locked underneath the kitchen sink. LPA observed a 3-day supply of perishable and a 7-day supply of nonperishable foods. The water temperature measured 105.8 degrees Fahrenheit.
Bedrooms 1 through 3 contains the mandated furniture. The (2) bathrooms are clean and operational. The first aid kit is fully stocked with manual. No firearms are stored at facility and no bodies of water present. This facility is in good repair.
LPA Shirley and Ashley walked through all common areas. In the living room, kitchen, dining room there is ample seating and space for the client. All rooms and walkways were clean, and clear of obstructions and hazards. All areas have ample lighting. All rooms, hallway, and living room have working smoke detectors. There is charged fire extinguisher located in the kitchen and 1 in the hallway. There is a patio table in the backyard with an umbrella for shade. The backyard is clean and clear of obstructions and hazards and there are no bodies of water present. There were no deficiencies.
An exit interview was conducted, and a copy of this report was provided to the Administrator, Ashley Jacobs.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction