Facility Evaluation Report

On 9/20/2023, 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 05/23/2023 was received for four (4) ambulatory residents. The facility phone number is 661-526-4923.

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 9:40 am until 10:11 am

Today’s site visit consisted of LPA touring the physical plant inside and outside from 9:10 am until 9:40 am. LPA Spaeth observed the following:

Living Room – The room contained comfortable seating.

Kitchen/Dining Room - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. The kitchen closet was locked and contained the knives, first aid kit, and emergency food and water. The clients’ medications will be locked in a kitchen cabinet. Cleaning supplies were also locked in a kitchen cabinet. A fire extinguisher is also located in the kitchen. Appliances in the kitchen appeared to be functional. The dining room area contained a dining room table with chairs and games. The water temperature was recorded at 9:20 am and was 115.0 degrees F.

Living/Dining Room – LPA observed the living room and dining room are combined. The living room area contained two couches, chairs, and a television. The dining room contained a dining room table with chairs. A locked cabinet contained cleaning solutions and laundry soap.