Facility Evaluation Report

On 10/25/2023, Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced pre-licensing visit to this facility and met with the Licensee. This is a new application and a fire clearance dated 08/03/2023 was received for six (6) ambulatory clients. The facility phone number is 661-579-6514.

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. Component III was conducted with the applicant from 9:15 am until 9:45 am

Today’s site visit consisted of LPA touring the physical plant inside and outside from 9:45 am until 10:15 am. LPA Spaeth observed the following:

Living Room/Dining Room – The living room and dining room are combined. The living room section contained comfortable seating. The dining room area contained a dining room table with dining room chairs.

Kitchen - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. A fire extinguisher is located in the kitchen. Appliances in the kitchen appeared to be functional. The water temperature was recorded at 10:10 am and was 120.0 degrees F.

Backyard - The backyard contained an umbrella for shade and comfortable seating. The side gate leading from the backyard to the front yard was not locked. A storage shed is located in the backyard and was empty.