Facility Evaluation Report

On November 17, 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct an 1 year required annual Inspection. LPA met with Aileen Cantor, Licensee, and explained the reason for the visit.

Prior to the visit, 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; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks.

Aileen and LPA completed the Covid infectious control questionnaire with no advisories.

LPA and Aileen toured the home. All rooms have the required furniture. The bathrooms clean. LPA observed an adequate amount of linens and found the first aid kit to be complete. Hot water temperature measures at 105 degrees F. There are no bodies of water on the premises. The administrator's certificate was valid expiring in 2023.

Per California Code of Regulation, Title 22, No violations was observed. No citations were issued.

The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610D the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file. Administrator shall submit the listed documents to Licensing no later than December 17, 2022.

An exit interview was conducted and a copy of this report was given to Aileen