Facility Evaluation Report

On 8/28/2025 at 9:00 AM Licensing Program Analyst (LPA) Shakaricka Hughes arrived at the facility to conduct an unannounced annual inspection. LPA Hughes met with caregiver Isilisa and explained the purpose of the visit. Isilisa called the facility designated administrator to inform that CCLD was present in the facility. The current census is 4 with 2 facility staff.

This facility is a single story building licensed to serve six (6) non-ambulatory residents. LPA inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present.

LPA toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 105.4 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguishers are located in the kitchen area and laundry room and was last serviced on 07/05/2024. Fire extinguishers were observed not in compliance with Title 22 regulation 80020(a) as (2) fire extinguishers in the facility service dates were not updated for the current year. LPA observed the facility has a public telephone in the common area and the facility has the required posters posted. Facility thermostat was observed at 74 degrees Fahrenheit. LPA observed toxins located in the hallway closet kept locked and inaccessible to residents. LPA observed sharp knives kept locked in the kitchen and inaccessible to residents.