Facility Evaluation Report
On 03/13/2025 at 10:30 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct the required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. Licensee/Administrator William Farris was informed of the visit. LPA Brown informed Licensee/Administrator Farris of the purpose of the visit. At the time of the visit there were two (2) staff present, and four (4) residents present.
The facility is a six (6) bedroom, four (4) bathroom home with a kitchen/dining area, living room/activity room, laundry room and an attached garage. LPA brown noted that the pool in the backyard was locked and with the required fenced. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of five (5) non-ambulatory residents of which one (1) may be bedridden. The facility’s approved for three (3) hospice waiver. The current census is four (4) residents. LPA Brown was accompanied by Licensee/Administrator Farris to conduct a general overall inspection, which included, but was not limited to the following:
Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 68 degrees Fahrenheit (F). LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in the resident bathroom to be at 107 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Charged fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, Ombudsman poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. ***Continuation in LIC809C ***
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction