Facility Evaluation Report

On 4/13/2026 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the House Manager, Cheryl Hodges and stated the reason for their visit. The Administrator, Michael Lee 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 11:30 AM and the following was noted:

The facility is a two-story building with four (4) bedrooms and three (3) bathrooms currently occupying three (3) clients. There is no designated staff room. The facility has an approved fire clearance for four (4) 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 and dining 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 67°F. LPA observed the fire extinguisher to be located near the kitchen and dated 07/31/2025. 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. A working telephone was observed.

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)