Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Michael San Diego and explained the reason for the visit. The Administrator's certificate expires on October 6, 2025. The facility is licensed for 4 ambulatory clients. Facility is a single story home with 4 bedrooms, 2 bathrooms, living room, kitchen, laundry room, 2 car garage and activity room. LPA and Administrator toured the facility. LPA observed the kitchen is clean and organized. The gas stove lights unassisted. The knives are kept locked under the kitchen sink along with cleaning supplies. Medication is kept locked in a file cabinet. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the laundry room has a 3 day supply of emergency food and water. The garage is kept locked and used for storage. LPA observed a TV in the living room. There are games and puzzles in the activity room. LPA observed all client bedrooms have the required furnishings. Smoke detectors/carbon monoxide detector tested operational. LPA observed all 3 fire extinguishers are fully charged. LPA observed both bathrooms are clean and operational. LPA observed bathroom 1's window is missing a screen. Hot water measured 125.0 degrees Fahrenheit in both bathrooms. The last fire drill was conducted on December 28, 2024. LPA and Administrator toured the backyard. No bodies of water observed. Both exit gates are operational. There is a table with an umbrella and chairs to sit outside. No obstacles or hazards observed in the backyard. LPA reviewed 2 staff files. No discrepancies observed. Both staff members have current CPR/First Aid training. All staff are background cleared and associated to the facility. LPA reviewed 4 client files and medication. No discrepancies observed. LPA reviewed client P & I monies, no discrepancies observed. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.