Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Administrator Cory Mitchell and explained the reason for the visit.

The facility is licensed as a Social Rehabilitation Facility. It has a Social Rehabilitation Program Certificate - Transitional Residential Treatment Program, which is approved by Department of Health Care Services with effective date from 04/29/26 to 04/29/27. Facility does not vendorize with the Regional Center. Clients are private pay with their insurance. Facility does not currently serve any clients with restricted health conditions.

The facility is licensed to serve six (6) adult ambulatory clients. The facility is a two-story home located in a residential area and consists of three (3) client bedrooms, three (3) bathrooms, a staff bathroom, a kitchen, a living room, an activity room, a laundry room in the basement, a front porch, a detached garage, and a back yard.

Today’s inspection consisted of applying CARE tool, conducting physical plant, reviewing staff/client records, checking client’s food supply/medication, and interviewing staff/clients.

Infection Control: Facility maintains an infection control plan. A responsible person was available at the facility.

Physical Plant & Environmental Safety: The facility was in good repair. Living room and activity room were observed with sufficient furniture. Client’s bedrooms and bathrooms were in good repair and in compliance. (- Continued on LIC 809C-)