Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with caregiver who then contacted Administrator who arrived to the facility shortly afterwards.

LPA and Administrator conducted a tour of the exterior and interior of the facility. Areas toured included but not limited to: three clients bedrooms, kitchen, bathroom, laundry room, backyard and the common areas. LPA observed fire extinguisher present with service date of February 6, 2025. LPA observed sharps, toxins and medications to be locked and secured. LPA observed facility food menu to indicate at least three meals a day. LPA observed facility to have ample supply of clean linens. LPA observed facility to have operating fire alarm and carbon monoxide alarm. LPA observed facility to be clean, safe and in good repair.

Administrator reported no concerns at the facility at this time. Administrator stated he is in communication with the regional center regarding C1's personal and incidental funds. LPA and Administrator discussed the pending fire clearance. Administrator stated building permit is still in process.

File review was completed for three clients in care, LPA observed the required documents present and complete. LPA observed fire drill record to indicate monthly fire drills was conducted for the year of 2025.

Inspection tool was completed and found facility to be in substantial compliance. No deficiencies cited.

Exit interview conducted and a copy of report was provided.