Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived announced to conduct Pre Licensing visit. LPA met with Royal Young and William Bonner JR. This facility will be vendor with Valley Mountain Regional Center for a Level 4 -I. This building has two stories.

LPA toured the facility inside and outside the facility making a Health and safety inspection. This facility was cleared for 4- ambulatory. Thermometers was place in the freezer and refrigerator. No dish washer in the kitchen. LPA observed pots, pans, cup, dishes and utensils.

Bathroom had night light and hot water tested at 110 degrees Fahrenheit. Four bedrooms for each residents. Master bathroom has a bathroom. Medication will be located in the dining room cabinet. First Aid Kit and Manual will be located in same dining area along with flash light.

Staff will be awake 24/7. LPA observed Fire Extinguisher inspected and Carbon Monoxide in the main hallway. Telephone(209) 475-8614 in the living room area. LPA observed table top games available. Outside : Building has over hang roof. Outside furniture and chairs provide. Separate Garage will be locked.

This facility has meet Title 22 requirements at this time. The facility needs to complete advisories by 12/ 9/2024