Facility Evaluation Report

Licensing Program Analyst (LPA) Liliana Silveira conducted an announced Pre-Licensing continuation 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 herself to, and explained the purpose of the visit to Licensee Tatiana Kurkies.

The facility fire clearance was granted on 12/19/2023 and reflected that the facility was approved for four (4) ambulatory adult clients in total. 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 Licensee, 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 76 degrees F. Hot water temperature at taps accessible to clients were also compliant: Bathroom #1 sink was 105.3 F, Bathroom #2 sink was 105 F and Bathroom #3 was 105.3 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.

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, NEXT PAGE)