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 Applicant Claudine Griffin and Administrator Ashlee Menefee. Lead DSP Fineita Taulanga also joined the inspection. LPA was granted entry after identifying themselves and disclosing the purpose of the visit.

This is a Change in Ownership Application. The fire clearance was approved on 03/12/24 and reflected that the facility was approved for 6 ambulatory residents for an Adult Residential Facility (ARF). As of today's visit there were 6 clients in care, all at Day Program. The submitted facility sketch was consistent the current layout of the facility.

During today’s visit, LPA, accompanied by Claudine, Ashlee and Fineita, 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 resident 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. There are 2 (two) fire extinguishers that are in compliance with regulations. All toxic substances/poisons, chemicals were stored in a locked area inaccessible to residents. Fireplaces, and/or open-faced heaters were inaccessible to residents.

Resident bedrooms allowed for easy passage with no obstruction and contained the required furnishings. Each window had a screen which was in good condition. (CONTINUED ON NEXT PAGE, LIC 809C)