Facility Evaluation Report

Licensing Program Analyst (LPA) Luis De Leon conducted a case management visit regarding Health and Safety Check visit. LPA met with Administrator Clarel Martine and explained the purpose of the visit.

During the physical plant tour, LPA observed construction work being done on the second-floor bathroom that had previously been observed to have a leak causing mold on the first-floor ceiling, right under the second-floor bathroom. LPA requested Administrator for a project bathroom remodeling plan and incident report to inform CCLD of remodeling project. The administrator stated that an incident report had not been filed with licensing. LPA observed construction debris in the hallway and backyard which may pose a health and safety risk to clients in care. LPA requested Administrator to submit a project plan including duration of the project, details of project, mitigation measures taken to care for clients’ safety including ADLs support provided to clients while project is ongoing. Administrator should include in the project plan the building permits needed for the project or a statement indicating that no permits are needed for the remodeling project. A deficiency is cited.

The following items were requested during the visit today:

· Facility plan for the construction project

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC-809D page. Exit interview was held and copies of reports LIC-809, LIC 809D, and Appeal Rights were discussed and provided to Administrator Clarel Martine.