Facility Evaluation Report

On 7/07/2026 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA called the Administrator, Staci Jordan and stated the reason for their visit. The Administrator along with the Co-Administrator, Willie Jordan arrived shortly after to assist with today’s visit.

LPA asked for the census and Staff/Client Roster. LPA conducted a physical plant tour at approximately 12:00 PM and the following was noted:

The facility is a two-story building with four (4) bedrooms and three (3) bathrooms currently occupying five (5) clients. All clients’ bedrooms are located upstairs. There is a designated staff room with its own private bathroom. The facility has an approved fire clearance for six (6) ambulatory clients. The facility is vendor through North Los Angeles Regional Center (NLARC) and is being operated at a Level III Adult Residential Home.

Common areas: The living rooms, dining rooms, and the activity room were observed to be neat, clean and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 76°F. A fire extinguisher was observed to be located near the kitchen with a purchase receipt of 7/07/2026. LPA observed required postings such as See/Say Something, Facility License and Personal Rights to be located throughout the common areas. A fireplace was observed to be covered and inaccessible to clients.

Bedrooms: The clients’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored in a storage cabinet located upstairs. (continued on LIC 809-C)