Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a case management visit regarding an incident Sacramento Metro Fire had observed during their inspection conducted on 8/16/2024. LPA met with Caregiver and explained the purpose of the visit.

Licensee then arrived to the facility shortly afterwards.

During Sacramento Metro Fire's inspection, it was observed that the fire door was defective and cannot self latch. Additionally, it was observed the smoke alarm in the hallway was disconnected. During LPA's visit, fire door was again hooked open against fire regulation. LPA informed Licensee that Metro Fire had highly advised that fire door should additionally install a magnetic door opener as this is LPA's second time observing the following deficiency. Licensee informed LPA smoke alarm has been ordered as the old smoke alarm did not fit.

During LPA's visit today, LPA observed S1 to be working at the facility with no criminal clearance association to the facility. LPA informed Licensee that all individuals working, residing and/or volunteering at the facility needs to have a fingerprint clearance and associated to facility roster. LPA was informed that S1 has started shadowing and/or orientation last week. LPA was additionally informed S2 has been working "here and there" and moved their personal belongings to the facility on Saturday August 17.

This is a repeated violation as the following deficiencies was cited during post-licensing inspection on 7/18/2024.

Deficiencies cited, civil penalties assessed.

Exit interview and a copy of the report and appeal rights provided.