Facility Evaluation Report

On November 4, 2021, at 10:30am, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct a Pre-licensing Inspection. LPA met with Lisa Schumann, Executive Director and explained purpose of the inspection. Prior to initiating the inspection LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and a mask was worn for Personal Protective Equipment (PPE). The facility is a single floor facility with a capacity of 136.

Administrator certificate is valid, expiring 3/27/2023. First aid kit fully stocked and ready for emergency use. Fire extinguishers fully charged. Common areas were clean and in good repair. Bedrooms had required furniture and lighting. Facility has required (2) day perishable supply of food and (7) supply of non-perishable food. Medication was properly stored and locked away.

At the time of this inspection, the facility is in compliance and meets the minimum requirements for Residential Care Facility for the Elderly.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed during this visit.

Exit interview conducted and a copy of this report given to Lisa Schumann