Facility Evaluation Report

On September 16, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a Plan of Correction visit regarding the deficiency cited on August 28, 2025. LPA met with staff and explained the purpose of the visit.

On August 28, 2025, it was observed that the facility’s fire door was left open for residents to pass by freely. The purpose of the fire door is to comply with 2022 CALIFORNIA FIRE CODE: 435.8.3.2 Group R-3.1 occupancies housing non-ambulatory clients:

In a Group R-3.1 occupancy, bedrooms used by non-ambulatory clients shall have access to at least one of the required exits, which shall conform to one of the following:

1. Egress through a hallway or area into a bedroom in the immediate area which has an exit directly to the exterior and the corridor/hallway is constructed consistent with the dwelling unit interior walls . The hallway shall be separated from common areas by a solid wood door not less than 13/8 inch (35 mm) in thickness, maintained self-closing OR shall be automatic closing by actuation of a smoke detector installed in accordance with Section 716.5.9.

2. Egress through a hallway which has an exit directly to the exterior. The hallway shall be separated from the rest of the house by a wall constructed consistent with the dwelling unit interior walls and opening protected by a solid wood door not less than 13/8 inch (35 mm) in thickness, maintained self-closing or shall be automatic closing by actuation of a smoke detector installed in accordance with Section 716.5.9.

3. Direct exit from the bedroom to the exterior shall be of a size as to permit the installation of a door not less than 3 feet (914 mm) in width and not less than 6 feet 8 inches (2032 mm) in height. When installed, doors shall be capable of opening at least 90 degrees and shall be so mounted that the clear width of the exit way is not less than 32 inches (813 mm).

4. Egress through an adjoining bedroom which exits to the exterior.