Facility Evaluation Report

On 7/2/26, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced annual required visit. LPA met with Caregiver, Estela Briseno and explained the purpose of today’s visit. The purpose of today’s visit was to conduct the required annual inspection, using the new Care Tool. The facility is licensed to serve (4) developmentally disabled clients ages 18-59. Ambulatory only. There are (3) clients in placement. The facility’s annual fees are current.

The Woodyear Home is a single-story structure located in a residential neighborhood. The facility consists of (3) bedrooms, (2) bathrooms, living room, kitchen, dining area, den and a detached garage. Washer and dryer is located in the garage. Facility maintains all required posting throughout the facility.

LPA conducted a records review of (4) staff records and (3) client records. LPA reviewed the LIC 500 and found that one staff is not associated with our records in Guardian. The Administrator does not have a valid Administrator’s Certificate. LPA Shirley and Estela walked throughout the facility and all common areas such as the living room, den and dining room were all observed. The first aid kit was checked and fully stocked . Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature delivered at 108.6 F.

LPA observed that there is ample seating and space for all clients. All walkways were clean, and clear of obstructions and hazards. All areas have ample lighting. Smoke/ Carbon Monoxide detectors were operable. There are (2) charged fire extinguishers that were last serviced 9/25. Exterior areas are clean and clear of obstructions and hazards and there are no bodies of water present.

Deficiencies are being cited based on LPA observations and interviews conducted in accordance with the California Code of Regulations, Title 22, Divisions 6 chapter 1, see LIC 809D.

An exit interview was conducted, Plans of Corrections were discussed and a copy of this report and appeals rights were left with Staff, LaKeshia Jones whose signature on this form confirms receipt of these documents.