Facility Evaluation Report

Licensing Program Analyst (LPA) Cheryl Goodrich and Stephanie Martinez conducted an unannounced annual visit. LPA met with the staff Kayahna Walker at the front door and was granted entry. Administrator and Licensee Kendra Danfords was unable to attend the visit, but attended over the phone. The purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with California Code of Regulations, Title 22, Division 6. Facility is approved for four (4) ambulatory residents. The facility currently has no resident. The facility has never had residents since they have been licensed.

Physical Plant: front entrance, interior and surrounding exterior were clean and in good repair with no pathway obstruction; facility temperature read at 114.2 degrees; there were no bodies of water on premises; there was sufficient lighting and mattress pads in all four of the bedrooms; fire alarm and smoke carbon monoxide detectors were in working order. Facility does not house firearms and/or ammunition on grounds.

Food Services : 7-day non-perishable and 2 day of perishable food supply was observed and all food was properly stored and available.

Medication/Facility Records: Medications cabinet observed with a log and medication log book and inaccessible. Staff responsible for direct care and supervision have current First Aid / CPR training. Their are no residents in care.

Summary : Based on today's visit, no deficiencies were observed at this time. An exit interview was conducted with staff, Kayahna Walker and a copy of this report was provided.