Facility Evaluation Report

On 10/06/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA met with Administrator/Licensee Aimee Cabiling and explained the purpose of the visit. The facility is licensed to serve forty-nine (49) mentally disabled ambulatory clients; ages 18-59. The facility is a multi level structure consisting of three (3) floors with twenty-eight (28) bedrooms and fourteen (14) bathrooms. On the second floor there are (12) clients residing and on the third floor there are (2) clients residing on the floor. The following observations were made during today's visit:

The facility was observed to have a 2 day of perishable, and a 7 day supply of nonperishable food items. The smoke and carbon monoxide detectors on each floor were tested and were found to be operable. The fire extinguishers were fully charged and last serviced 11/7/24. The hot water was tested and measuring within regulatory limits 106.8-107.2 degrees Fahrenheit. The facility has not conducted an emergency disaster drill since 08/03/24, deficiency cited . There are no pools or bodies of water or known guns on the premises. The LPA conducted a review of both staff and client files. The client files that were observed to have medical assessments, and admission's agreements. Staff files obtained criminal record clearance and were associated to the facility, as well as possess valid CPR certification. The administrator Aimee was observed to have an expired administrator certification (06/22/25) Deficiency cited . LPA followed up on the annual fees that are due on or before 10/26/25, and provided PIN 458177. LPA discussed with Licensee to submit an updated an LIC610D, to reflect current plan to combat current illnesses. Licensee agreed to submit by 5pm on Monday 11/4/24. Based on today's inspection a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 6).

An exit interview was conducted and a copy of this report, 809D, appeal rights and LIC811-Confidential names list, was reviewed and provided to Licensee/Administrator Aimee Cabaling.