Facility Evaluation Report

On 02/13/2025 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 05/10/2024 was received for four (4) ambulatory residents.

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 9:45 am until 11:00 am.

Today’s site visit consisted of LPA touring the physical plant inside and outside from 11:00 am until 11:30 am. LPA Spaeth observed the following:

Living Room – the living room contained comfortable seating.

Dining Room - The dining room contained a dining room table and chairs.

Kitchen/Family Room - There is a seven-day supply of non-perishable food and a two-day supply of perishable foods. A fire extinguisher is also located near the kitchen. Appliances in the kitchen appeared to be functional. The family room contained comfortable seating and a television.

Medication Closet - The closet was locked and will be the storage area for clients' medications, clients' files and staff files.