Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr. made an unannounced visit to Xavier Home 2 for the purpose of conducting an annual inspection. LPA arrived to the facility at 2:45pm and was greeted by Administrator (AD) Edith Silva.

The facility is undergoing full renovations and construction. Residents are currently residing at 14775 Firestone Blvd. La Mirada, CA. LPA observed no clients to be present at the facility on Dogwood Ave.

Per Licensing Information System (LIS) LPA determined that the annual fees are not current. LPA made Licensee aware of unpaid annual fees. LPA provided Licensee with amount of fees owed, PIN, CDSS website to pay. LPA suggested paying online. LPA stated the payment is due 30 days from the visit. A citation is being issued. LPA provided Licensee with step-by-step instructions how to pay.

Based on the observations and LIS review, one deficiency is being cited as per Title 22 Division

6 Chapter 2 of the California Code of Regulations. An exit interview was conducted with Administrator Edith Silva, and a copy of this report and appeal rights were provided.