Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with DSP Nida Cailing. Also present was Teodoro Lucas, DSP, who was preparing food in the kitchen. LPA observed (2) clients in the common area and (1) client in their room at the start of the inspection. LPA observed (1) client return from day program towards the end of the inspection. The facility is an Residential Care Facility for the Elderly (level 4I home) that is vendorized through Alta California Regional Center. (1) client is currently under hospice care. Maye Dickey, Administrator, Adam Dickey, Administrator Designee, and staff, Elisabeth Lucas, Ruth Cabiles arrived during the inspection.

LPA and DS toured the interior and exterior of the facility including the common areas, (4) private client bedrooms, (2) bathrooms, kitchen, (1) staff room, activity room/sun room, laundry area and outside patio. LPA observed the home to be clean, safe and in good repair. Client rooms have keypad locks per Title 17. Fire extinguisher just serviced 7/17/25, and the facility conducts monthly disaster drills- posted. Smoke/monoxide alarms are in working order. Hot water measured 105*F in the kitchen. Sharps/toxins are locked in the laundry area and medications are secured in a separate cabinet. There are (2) unlocked gates and patio seating outside. Administrator to purchase a new umbrella. Annual fees have been paid.

LPA reviewed (2) client files and (4) staff files. Files were organized and contained current required documentation. Staff have completed all required training, including First Aid/CPR. Administrator certificate is current. Medications were reviewed for (2) clients- orders match medications being administered. P&I funds were reviewed for (2) clients. Balance on hand matches records and receipts are maintained.

LPA requested updated copy of liability insurance be provided to CCLD by 9/10/25.

There are no deficiencies issued in today's report.