Facility Evaluation Report

On 6-3-2026 at 2:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct a quarterly inspection visit. LPA met with the residential coordinator Farina Khan and explained the purpose of the visit.

LPA inspected the physical plant including but not limited to the kitchen area, common areas, resident bedrooms; resident bathrooms, laundry area and outside of the facility to ensure compliance with Title 22 regulations. Facility is an adult residential facility with a current census of 4. The facility has an approved infection control plan in place.

LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Fire extinguisher was checked 8-28-25. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care.

During this inspection five staffing files were reviewed for training verification. LPA verified all staff training is current at this time per stipulation order. LPA reviewed current client rosters, and observed current stipulation posted within facility for viewing. All staff files reviewed contained criminal background clearances. LPA observed personal rights and complaint information 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 interim Administrator. LIC 811 provided for reference.