Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA knocked on the door several times and called the facility land line, but there was no answer. LPA contacted the Administrator by cell phone, who arrived at 11:00 am. Dan Segovia, manager, arrived at 11:15 am. The facility is an Adult Residential Facility - level 5 (prior level 4F) that is vendorized through Alta California Regional Center and is licensed for (6) clients. There are (6) clients who reside at the care home. LPA observed (0) clients present at the start of the inspection, as all clients are attending day program.

LPA and both managers toured the interior/exterior of the facility including the common areas, (4) client bedrooms, (2) bathrooms, kitchen, laundry area and backyard. LPA observed the home to be clean, safe and in good repair. All required postings are posted, including House Rules and personal rights (#18). Sharps are locked in the kitchen, medications are secured nearby and toxins are locked in the laundry area. LPA observed sufficient 2+day perishable, including fresh produce, and 7+day non-perishable food. Hot water measured 112*F in the kitchen and inside temperature measured 68*F. Fire extinguisher last serviced 1/2/2026, and smoke/monoxide alarms are in working order, and the fire door closed when the alarm was prompted. All exit doors have alarms and there are exterior cameras in the front parking area. Monthly fire drills done- time of day is varied. There is a large back yard area with seating and various gardens. There are no pools/ponds. The only non-ambulatory resident resides in room #1, per fire clearance. All clients have a locked on their resident door and have a key if desired. Administrator certificates are current- #7031532735 (exp 5/22/27). (2) client files and (6) staff files were reviewed. All files are organized and contain current documentation, including all required/initial training. P&I and medications were reviewed for (2) clients- no errors were found and documentation is current. There were no deficiencies observed. There are no citations issued in this report. Exit interview. Copy of report provided to the Administrator.