Facility Evaluation Report

Licensing Program Analyst (LPA)Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and granted entry into the facility by staff Marcelina Lived and explained the reason for the visit. Administrator Rafael Torres arrived at 2:00pm.

At 12:50PM LPA toured the facility with Staff Marcelina Lived.Facility is 5 bedroom, 3 bathroom single story home with a detached garage. Facility has 3 clients present during today's visit. LPA observed clients relaxing in the facility. Facility appears clean and sanitary. All clients rooms had the required elements as well as restrooms stocked with soap.. LPA observed supply of emergency food with packs of water. LPA observed locked medication cabinet. LPA toured the outside grounds and exit gates are unlocked and self latching. Facility has a plan for covid testing clients and staff as needed as well as a plan for isolation. All staff and clients are vaccinated for Covid-19. LPA reviewed all client's files and all contained required documentation including updated emergency information.

Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.