Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived unannounced to conduct a POC visit to follow up on deficiencies cited on 10/09/25. There was 1 staff & 1 staff arriving with 3 clients when LPA arrived at 9:05am. Facility census is 5 but one client remains in skilled nursing and 1 client is visiting with family. LPA met with House Manager, Tanya Barreto for today’s visit.

The following CCL deficiencies cited on 10/09/25 and status of POCs are as follows:

80087(g) Buildings & Grounds: Disinfectants, cleaning solutions, poisons- Cleaning supplies and disinfectants stored in upstairs closet next to washer & dryer observed to be unlocked containing; comet w/ bleach, Easy Off Heavy duty oven cleaner, 2- 64 ox kingsford charcoal lighter fluid, large container of Clorox cleaner + bleach, and gallon of cloralen bleach “High performance bleach for commercial use/home use and other cleaning supplies. POC due date for future compliance cleared 10/17/2025. Complete

80087(i) Buildings & Grounds: The items specified in Section 80087(g) above shall not be stored in food storage areas or in storage areas used by or for clients. toxins & cleaning supplies found in emergency/overflow food storage closet. POC due date for future compliance cleared 10/9/2025. Complete

80087(g)(1) Buildings & Grounds: other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. (1) Storage areas for poisons, firearms and other dangerous weapons shall be locked. Backyard where clients are accessible to contained metal rakes, metal shovels (staff had informed a client uses chair as a weapon). POC due date for future compliance cleared 10/17/2025. Complete