Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Ferdinand Galvez, DSP staff and explained purpose of inspection. Also present was DSP staff Mary Ann Wilson. Staff Evelyn was leaving at the start of the inspection. (5) clients were present at the start of the inspection, and (1) client returned during the inspection. The facility is an Adult Residential Facility (level 4i home), vendorized through Alta CA Regional Center. Administrator, Gary Tateishi, arrived around 4:00 pm.

LPA and DSP toured the interior and exterior of the facility including the common areas, (6) private client bedrooms, client bathrooms, kitchen, recreation room, office, laundry rooms (2) and outside patio. The upstairs of the facility is used by staff only. LPA observed the home to be clean, safe and in good repair and to not pose a health and safety risk or personal rights violation. LPA observed locked toxins, sharps and medications in the kitchen and additional toxins locked in the laundry area. There is sufficient 2+ day perishable and 7+day non-perishable food. The inside temperature measured 74*F and the hot water measured 111*F in the kitchen. There is a complete First Aid kit and sufficient linens/towels/blankets and paper products. Outside, there is an area with grass and a deck. Fire extinguisher last serviced 6/27/25. Fire drills conducted monthly and smoke/monoxide alarms are working.

LPA reviewed (2) client files and (3) staff files. Files were organized and contained current documentation. Medications and P&I were reviewed for (1) client- orders match medications being administered and the balance of funds matches records/receipts. Staff training documentation on file and staff have current First Aid/CPR certifications. Updated email address obtained. Multiple posters are visible in the common area.

There are no deficiencies issued in today's report. Exit interview. Copy of report emailed to the Administrator.