Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Program Manager (PM) Bryan Johnson and discussed the purpose of the visit. The facility currently has 5 clients in care.

The facility is a 2 story home with four client bedrooms, four bathrooms, kitchen, living room, dining room, laundry room, and two car garage. The facility appears clean, safe and sanitary. LPA observed the client bedrooms to have all the required components and furnishings. LPA observed the client bathrooms to have toilet paper, paper towels and textured shower flooring. The water was tested between 115.5 and 118 degrees Fahrenheit. LPA observed the kitchen to be clean and free of vermin. A two day perishable and seven day non perishable food supply was on hand. All appliances were found to be operational. The emergency food and water supply is stored under the cupboard stairs. LPA observed the first aid kit to be stored by the stairs and has all the required components. LPA observed the centrally stored medication to be locked in a medication cart near the stair case and made inaccessible to clients in care. The knives, sharps and toxins were locked in a cabinet by the stair case and made inaccessible to clients. Fire extinguishers were charged and with a service date of December 23, 2025 and were mounted to the walls on the first and second floor by the stair case. PM tested the carbon monoxide and smoke detectors and they were found to be operational. LPA observed a shaded seating area for client use that was free of debris and obstructions.

LPA reviewed staff files and no discrepancies were observed. LPA reviewed client files and no discrepancies were observed. The facility does not manage client P&I. LPA observed all client medications are being given as prescribed. LPA reviewed the last fire drill was conducted on December 17, 2025. All staff present are background cleared and associated to the facility. Based on observations during todays visit, no deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.