Facility Evaluation Report

On 4/20/2026 at approximately 9:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by staff and stated the reason for their visit. The Administrator, JerMarcus Dumas 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 single unit building with four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. There is one (1) designated staff room. The facility has an approved fire clearance for six (6) clients of which two (2) main be non-ambulatory. The facility is vendor through North Los Angeles Regional Center (NLARC) and is being operated at a Level V 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 71°F. LPA observed a fire extinguisher to be located near the kitchen and purchased on 04/06/2026. LPA observed required postings such as See/Say Something and Personal Rights located alongside the entrance. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to clients.

Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Kitchen appliances were observed to be working and in proper condition. The knives/sharps were observed to be kept within a locked box inside of a locked kitchen cabinet. (continue to LIC 809-C)