Facility Evaluation Report

On 03/23/2022, Licensing Program Analyst (LPA) A. Walton conducted an announced Case Management Inspection. LPA Walton introduced self, stated purpose of visit, and was allowed entry into the facility. LPA met with:

The purpose of this visit is to follow up on the corrected items identified during the Pre-Licensing Inspection dated 03/16/2022. LPA conducted a tour with Licensee and Administrator. The smoke detector has been attached to the ceiling in bedroom 3 and carpet has been secured in bedroom 3. Grab bars have been installed by the bathroom toilets. Additional linens was observed in the hallway closet. Hot water measured between 109.2 - 116.0 degrees F. Fire extinguisher was last serviced on 03/21/2022.

I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.

Exit interview conducted. A copy of this report was discussed and provided to Licensee, whose signature on this form confirms receipt of this document.