Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing 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 himself to, and explained the purpose of the visit to the applicants, Karen DeGuzman and Arman DeGuzman.

The facility fire clearance was granted on 03-02-2023 and reflects that the facility was approved for four (4) clients in total, of whom all must be ambulatory. The facility's fire clearance does not include delayed-egress door or secured perimeter endorsements, 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 applicants, 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 compliant at 71 F. Hot water temperature at taps accessible to clients were also compliant: Kitchen sink was 117.3 F, Bathroom #1 sink was 115.7 F, and Bathroom #2 sink was 116.8 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. Refrigerator temperature was 40 F, and dining room and garage freezer temperatures were both 0 F. The hot drinking water dispenser located in the kitchen was prominently labeled with a warning sign, as required.