Facility Evaluation Report
On 10/11/2024 at 2:00 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection. LPA was greeted by the administrator designee, Perpetua Asombang and granted access. Perpetua called the Administrator Moshood Ibrahim. LPA explained the reason for the visit. Administrator met LPA shortly after.
At 2:25 p.m. LPA, with the administrator designee toured the physical plant of the facility, and the following was observed.
Living Room: LPA observed a spacious living area with a couch and recliner that sits the capacity of the facility. LPA observed a large television and a fireplace secured with a screen.
Bedrooms: LPA inspected four (4) out of four (4) client bedrooms. Bedrooms are for private use. LPA observed each client room to be properly furnished with one bed, appropriate night stand, chair, bedding and with sufficient lighting and storage. LPA observed extra linens and client toiletries in a hallway cabinet. LPA observed a locked hallway closet used to store cleaning supplies.
Bathrooms: The facility has three (3) bathrooms. LPA observed the bathrooms to be clean and properly supplied with toilet paper, paper towels and trash bins with lids.
Laundry/Garage: Laundry area is accessible to clients and detergent are maintained locked in the cabinets. The garage is accessible through the office. LPA observed one fridge and a freezer with extra food. Facility also stores emergency food and water in the garage.
Surrounding Grounds : Entry and exits were free of obstruction. There is a covered patio with appropriate furniture for clients to use. (Continued on LIC809-C)
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction