Facility Evaluation Report
Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representative, Rhonda Epps.
The facility fire clearance was granted on 06-11-2024 and reflected that the facility was approved for six (6) clients in total, of whom all must be ambulatory. The facility's fire clearance did not include endorsements for delayed-egress doors or secured perimeter, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility.
During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Client bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. The facility’s ambient internal temperature was complaint at 73 degrees F. Hot water temperature at taps accessible to clients were also compliant: Kitchen sink was 111.6 F, Bathroom #1 sink was 108.9 F, Bathroom #2 sink was 109.3 F, and Bathroom #3 was 110.1 F.
The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future client use. All kitchen appliances were in working order. Kitchen Refrigerator temperature was 25 F, and Kitchen Freezer temperature was 0 F. Garage Refrigerator was 39 F, and Garage Freezer temperature was 0 F. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and client activities. The facility has locked areas for storage of sharp objects, medication, and confidential client and staff records. [CONTINUED ON LIC 809-C]
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction