Facility Evaluation Report

Licensing Program Analyst (LPA) Liliana Silveira conducted an announced Pre-Licensing inspection. The inspection included review of Component III, as well as a walk through of 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 at the front entrance by Janet Muia and Elizabeth Kaguchia and was granted entry after identifying themselves and disclosing the purpose of the visit.

This is a new facility. The fire clearance was approved on 04/02/2024 and reflected that the facility was approved for 4 clients for an Adult Residential Facility (ARF). All 4 clients must be ambulatory and none can be bedridden. As of today's visit, there were 0 clients in care. The submitted facility sketch was consistent with the current layout of the facility.

During today’s visit, LPA, accompanied by Janet and Elizabeth, conducted an overall inspection of the internal and external areas of the facility. The facility was clean, sanitary and in good repair. Required licensing postings were observed in visible areas of the facility. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and client activities. All outdoor and indoor pathways were free from obstruction and slip hazards. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were present and operational. Fire extinguishers were serviced within the last 12 months and affixed with current tags. All toxic substances/poisons, chemicals were stored in a locked area inaccessible to clients. Fireplaces, and/or open-faced heaters were inaccessible to clients.

Client bedrooms allowed for easy passage with no obstruction and contained the required furnishings. Each window had a screen which was in good condition. The facility has all the required furnishings, linens and personal hygiene items. Client bedrooms allowed for easy passage with no obstruction and contained the required furnishings. (CONTINUED ON LIC 809C)