Facility Evaluation Report

At approximately 10:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a subsequent Pre-Licensing Inspection visit and met with Staff Member, Shaylia Cooper. Program Director, Priscilla Hernandez, arrived later during visit at 11:20AM and Residential Supervisor, Marlen Costello-ArRasheed, arrived at 12:10PM. LPA conducted first Pre-Licensing visit dated 8/12/2022. Facility type is changing from an Adult Residential Facility to a Social Rehabilitation Facility.

LPA toured the facility and and reviewed additional items. Smoke Alarms and Carbon Monoxide detectors were tested and operational.

LPA, Program Director, and Residential Supervisor discussed the following:

Facility submitted Plan to Community Care Licensing (CCL) to have Personnel Files not on site. Files to be electronically stored at their HR headquarters located in the East Bay. Facility plan has been submitted to be reviewed by Policy. If not sufficient, Facility understands that current plan will need to be revised in order to meet regulation.

Component III Orientation . LPA reviewed and discussed items in the Component III Orientation with Program Director and Residential Supervisor during visit.

LPA observed a hole in the wall located on the stairway leading to the bottom floor (pictures taken); Hole was approximately 8.5x11 inches. Per conversation with Residential Supervisor, ticket was submitted for repairs process to begin. Repairs to begin Wednesday, 9/7/2022. Facility to submit ticket and proof of fixed wall to CCL once completed.

Pre-Licensing completed. Component III Orientation conducted and complete d. Facility will be ready to be Licensed as a Social Rehabilitation Facility once Proof of Repairs has been submitted to CCL.