Facility Evaluation Report

On 10/19/2023, Licensing Program Analysts (LPAs) Lorena Casillas and Melissa Spaeth conducted an announced Pre-Licensing visit to this facility and met with applicant Earlynn Narajos. This is an initial application for an adult residential care facility. A fire clearance dated 02/10/2023 was received for four (4) ambulatory residents. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6.

The Component III presentation was conducted from 9:47 am until 11:13 am with applicant.

Today’s site visit consisted of LPAs touring the physical plant inside and outside with the applicant from 11:23 am until 11:50 am. LPAs observed the following:

Facility has a functional fire extinguisher. There is a functioning telephone on the premises. The facility phone number 661-802-7583 Emergency exit plan/sketch is posted on the living room wall and the family room wall along with other posting requirements. The smoke detectors were checked at 11:47 am and were functional. The carbon monoxide detector was also functional. The water temperature was measured at 12:40pm and was at 105.7 degrees F.

There are four (4) resident bedrooms (four (4) single bedrooms). LPAs observed bed linens, chest of drawers, closet, night stand, and lamp in each bedroom. The bedrooms were neat and clean.

The facility office is contained in the family room. The staff files will be locked in file cabinet located in family room.

The common areas (living room, family room, kitchen, and dining areas) were appropriately furnished, and lighting was adequate. The living room contained comfortable seating. The family room was furnished with magazines, comfortable seating, and a television.