Facility Evaluation Report

Cicada-mill Valley, Mill Valley05/22/2025Licence 216801993

Capacity6
Census5
Date signed05/22/2025 04:12:59 PM
Name of licensing program analystShannan Hansen
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced at approximately 9:00AM to conduct an Annual Required inspection and was greeted by staff. LPA and staff discussed the purpose of the visit. Administrator, Noel Camatog, arrived shortly after.

LPA and Administrator continued tour of the facility that started at approximately 9:30 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 109.7 degrees F and 111.9 degrees F which is within the range of 105 to 120 degrees F allowed per regulation.

Extra hygiene products and linens were available. Cabinets containing cleaning supplies in outside closet was locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water is stored in pantry.

Fire extinguishers were last serviced March 18, 2025. Facility has combination smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted March 11, 2025.

Client cash resources were reviewed. At approximately 11 AM Five client filed and six staff were reviewed. Client files were organized and contained all appropriate documentation.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction