Facility Evaluation Report

On 12-12-2023 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the facility manager Rashaud Weaver and explained the purpose of the visit. A previous attempted annual visit was conducted on 7-21-23.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an adult residential facility (ARF) with a current census of 0. Facility has 3 bedrooms and 2 bathrooms for resident use. An extra bedroom is available for staff use. Facility has a dining area off the kitchen and a formal living room. LPA also conducted the inspection using the CARE tool. There are no residents living in the facility at this time as facility is currently under minor renovation.

Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 71*F. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 12-1-23. Facility has an emergency food and water kit. First aid kit was observed to have adequate supplies and accessible to staff.

All staff noted on LIC 500 contained criminal background clearances. Facility’s liability insurance is current and update to date per regulatory requirements. Facility does not contain any bodies of water. LPA observed personal rights posted. Facility has appropriate internet access available for resident use. LPA reviewed facility’s disaster plan to ensure regulatory compliance. LPA requested an updated copy of LIC 308 and LIC 500.

Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to facility manager Rashaud Weaver.