Facility Evaluation Report
Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to conduct the required annual licensing inspection. LPA stated purpose of today’s visit was to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 6. The facility serves Developmentally Delayed adults. LPA was granted entry into the facility and met with Co-Administrators Jake Dizon and John Nausler. There were four (4) clients and two (2) staff present during today's visit. Administrator Josie Dizon arrived shortly. A tour of the facility was conducted inside and out.
The facility is a five (5) bedroom, three (3) bathroom home. Three (3) bedrooms are shared, two clients to a room and two bedrooms are reserved for live-in staff. All bedrooms have the required furnishings and furniture is in good repair. Each client has clean and sufficient bed linens and towels/washcloths. Carbon monoxide and smoke alarms are operational. Drills are conducted quarterly. The last fire drill was conducted on 06/24/23. There are no bodies of water on the facility. Exterior and interior passageways are obstruction free. Disinfectants, cleaning solutions, poisons were inaccessible to clients during the time of the visit. Lighting is present in all rooms. The facility temperature was 76 degrees at the time of the visit. Hot water temperature measured at 115.7 degrees Fahrenheit for the bathroom used by the clients. The client bathroom was observed to be sanitary and in operating condition. LPA observed sufficient supply of linens and hygiene products. Per Administrator Dizon, there are no weapons and/or ammunition housed in the facility.
The facility was stocked with a 2-day supply of perishable and a 7-day supply of nonperishable food items. The food was observed properly stored. Medications are stored in a locked cabinet inaccessible to clients.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction