Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted a required annual inspection. LPA was greeted and allowed entry into the facility by Jesse Quezada, licensee. There are currently zero (0) residents living in the facility. Mr. Quezada stated that he is currently working with the regional center and planning on admitting residents as soon as regional center approves the clients to the home.

The physical plant was toured, and the following was observed: This facility location is in a residential neighborhood, single story home, with (4) bedrooms, (2) bathrooms, living room, dining area, and kitchen. Bedrooms have the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen, and the linen is in good condition. Passageways and exits are free of obstruction. The front and backyard are well maintained. The resident bathrooms are clean, and showers have non-skid materials. The facility water temperature at the time the visit was within 105-120*F, facility temperature is comfortable on today’s visit. There is sufficient lighting throughout the facility. There are smoke detectors located throughout the facility, tested and operational. Carbon monoxide detector was also observed, tested and operational. Fire extinguisher is located in the kitchen and is fully charged. The washer/dryer are located in the garage. The medication, and resident and staff files will be kept in a secure cabinet in the dining area.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided to Mr. Quezada.