Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted and unannounced visit to issue a deficiency for a post-licensing visit that was conducted on November 25, 2024. LPA was greeted by and granted entry by CO-Administrator Jenny Sequeira arrived during the visit.

On November 25, 2024 LPA's Rodgers and Boyle toured the facility with Co-Administrator in addition to conducting a general overall inspection, which included, but was not limited to the following: facility physical plant, food service, medication management, records review, and facility administration. There is a pool on the premise, made inaccessible to clients in care. Carbon monoxide detector, fire extinguisher, and facility telephone were present.

On November 25, 2024 LPAs observed a front door lock which utilized a keypad and locks on exterior fence gates. Records review and interviews indicated that a locked perimeter for this facility is not approved by fire clearance.

A deficiency is being cited today due to the facility having a locked perimeter without fire clearance. The deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and noted on the attached LIC 809-D. An immediate civil penalty in the amount of $500 issued at today's visit. LPAs spoke to Co-Admin Jenny Sequeira and reviewed report, civil penalties and POC.

An exit interview was conducted with Co-Administrator Jenny Sequeira whom a copy of this report and the Licensee/Appeal Rights (LIC809-D 03/22) were provided during the visit.