Facility Evaluation Report

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20251103152410. LPA met with Administrator (AD) Kristen Newman and explained the reason for today’s inspection.

During the course of the investigation, LPA inspected the facility, interviewed AD and clients, and obtained and reviewed copies of the client roster, staff roster, and a refrigerator repair invoice dated August 8, 2025.

Per AD, the kitchen refrigerator was previously damaged by a client resulting in cooling issues, but was fixed and is working properly, and the garage refrigerator was used in the meantime. LPA reviewed a refrigerator repair invoice dated August 8, 2025, indicating the kitchen refrigerator was repaired and is functioning properly after testing. LPA inspected the facility and observed that the kitchen refrigerator is functioning, and the damage has been repaired, but this refrigerator is not set at the correct temperature. LPA and AD tested the kitchen refrigerator and observed the refrigerator’s built-in thermostat read at 40 degrees F, while the facility’s metal thermostat inside the refrigerator read at 53 degrees and the facility’s electronic thermostat inside the refrigerator read at 54 degrees. LPA and AD tested the kitchen freezer and observed the freezer’s built-in thermostat read at -3 degrees F, while the facility’s metal thermostat inside the freezer read at 10 degrees. AD stated the kitchen refrigerator had previously been repaired, tested, and determined to be working properly and facility staff relied on the built-in thermostats for temperature checks. However, the actual temperatures as tested by the facility’s metal and electronic thermostats demonstrated that the kitchen refrigerator and freezer are not maintaining the required temperatures.

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 and provided to facility representative.