Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to the facility to conduct a Required - 1 year inspection. LPA met and was allowed entry into the home by Staff Elisa Roque. Licensee/Administrator (AD) Leilani Alejandro arrived shortly after. AD Alejandro has an Administrator Certificate expiring on 12/02/2025. There were two clients present and two at Program during today's visit. LPA, along with AD toured the physical plant. LPA observed the facility for the most part to be clean and in good repair. The home is maintained at a comfortable temperature. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked and toilets and water faucets worked properly. Toilets and bathtubs need deep cleaning. Hot water temperature was within regulatory requirements. Client bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen is clean and needs to be organized. Perishable and non-perishable food supply was checked and adequately stocked. Appliances are operational during today's visit. LPA observed two knives in the kitchen, razors in clients room and cleaning supplies were under unlocked kitchen cabinet. Smoke detectors and carbon monoxide detectors tested operational; Fire extinguisher was fully charged and mounted. No bodies of water were observed outside. Walkways around the home were clear of hazards. Exit gates are unlocked. LPA observed First Aid kit contained required items. Last Emergency/Fire Drill was conducted on 11/24/2024 and are conducted monthly. LPA observed emergency supplies including food and water in the sunroom. LPA reviewed four client files and one staff file. Client and staff files contained required documentation. Medication was observed to be in a centrally stored location and some medication was observed accessible to the clients and medication reviewed appeared to have been dispensed accurately. P & I money matched facility ledger. Liability and Surety Insurance certificates are current.

Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and Appeal Rights was discussed with AD and copies sent to email on file.