Facility Evaluation Report

Licensing Program Analyst (LPA) Melody Brown conducted an announced Prelicensing visit 08/01/2022 at 01:50 PM. This is an announced Pre-Licensing visit conducted with Applicant/Administrator Artemio Dirige who assisted in the tour of inside and outside of facility and the evaluation. LPA Melody Brown made a second (2 nd ) announced prelicensing visit this date. The follow up visit was made to confirm that all corrections have been made.

The following: “Obtain and post Let-Us-No Poster, Obtain and post an Ombudsman poster (will pick-up on 08/03/2022), Obtain and post Labor Laws, Print and Post Covid-19 Signages in the common areas of the facility, Visitor Vaccination Verification Log, Pull-out two (2) broken wheelchairs at the backyard, Pull-out broken gutter at the backyard, Dispose recyclable empty bottles in the garage and boxes, Obtain one (1) Stand up Light for bedroom # 4” All were found to be corrected.

The facility was evaluated in accordance with the CCR, Title 22 California Code of Regulations. Based on the observations and evaluation of the facility this date, the facility’s ready for licensure.

Applicant/Administrator will be notified once facility is licensed.

An exit interview was conducted, and a copy of this report (LIC809) was discussed and provided with Applicant/Administrator Artemio Dirige.