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 Program Manager Lauren Grizzle and explained the reason for the visit. LPA and the Program Manager toured the facility. Facility is a 3 bedroom, 3 bathroom, two story house with a kitchen, dining room, living room, family room, laundry room, therapy room and an attached 2 car garage. Facility is licensed for 6 ambulatory clients. LPA observed the fireplace in the family room is screened. The facility license is posted on the wall next to the front door. LPA observed all fire extinguishers are fully charged. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the kitchen is clean and organized. All appliances, refrigerator, electric stove, dishwasher and 2 ovens are clean and operational. LPA observed all medications and knives are kept locked in the downstairs storage closet. The garage is kept locked and used for storage. All cleaning supplies are kept in the garage. LPA and the Program Manager toured the second floor of the facility. The second floor is comprised of 3 client rooms and a therapy room (formerly the staff office). LPA observed all client rooms had the required furnishings and linens. LPA observed the emergency evacuation chair at the top of the stairway is mounted on the wall. LPA observed the master bedroom has a fireplace that is screened. There are 2 bathrooms upstairs, both bathrooms are clean and operational. Hot water measured 121.0 degrees Fahrenheit. LPA observed clean linens in the hall closet. LPA and the Program Manager toured the backyard. There is a covered patio with a table and chairs to sit outside. LPA observed the exit gate is operational. No bodies of water observed. No obstacles or hazards observed in the backyard. LPA reviewed 4 client records and medication. No discrepancies observed. LPA reviewed 4 staff files, no discrepancies observed. The 4 staff members have all the required training. All staff present at the facility are background cleared and associated to the facility. Facility has a dedicated laptop for client use. Smoke detectors/carbon monoxide detectors tested operational. The last emergency drill was conducted on January 27, 2025. 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.