Facility Evaluation Report, 02/14/2024 — Cedars of Marin Ross Campus, the, Ross CA

Licensing Program Analyst (LPA) Hansen arrived to conduct an unannounced annual Inspection of the Cedars of Marin Ross Campus. LPA toured the interior and exterior of the facility with Staff/ Designee Rosemond Jolissaint and was joined by Associate Director of Residential Services Stacy Anderson.

At approximately 9:00 AM LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. The facility consists of three buildings divided into four halls. McIvor Hall and Collins Hall are in one building. McIvor and Collins Halls each house 6 clients. Peterson Hall has a total of 21 clients and administrative and medical offices. Pope hall has 15 clients. During today's inspection 13 staff are on shift and 6 clients present with the rest of the clients at day programs.

The amount of fresh and non-perishable foods was within regulation. There is a sufficient supply of hygiene products and linens on hand for client use. Water temperature measured 104.2 degrees F to 120.5 degrees F, falling out of regulation between 105 and 120 degrees F in 3 of 14 faucets accessible to clients in 3 buildings. Maintenance began adjusting water heaters during inspection (see LIC9102 TA). Fire extinguishers last inspections 2/23/2023. All buildings have functioning smoke detectors, carbon monoxide detectors, pull station fire alarms with audio/visual alarms and sprinklers. The fire alarms are tested by a contractor, Fire King Fire Protection, Inc, last inspection 2/14/2024. Disaster Drills are conducted monthly and are documented, last 1/12/2024. Each hall has a locked toxin/chemical storage closet, LPA observed toxins inaccessible to clients. LPA observed 10 client private rooms that contained required furnishing per Title 22 Regulations. Each hall has a locked medicine storage room where medications are centrally stored; although LPA observed medication pre-poured for clients in care (see LIC 9102 TA & pics) and were immediately destroyed.