Facility Evaluation Report

Licensing Program Analyst (LPA) Bruce Jacobs arrived to conduct an unannounced Post Licensing inspection on this date. The LPA's FAS system would not allow visited to be recorded as a Post-Licensing visit. There are yet to be client placed in the home and the home is not yet vendorized by the Regional Center.

Smoke detectors were checked and are operational. Fire extinguisher serviced in May 2021..Water was tested at 114.5 degrees. First Aid Kit in place

LPA observed the following posted in the entrance of the facility: See Something Say Something complaint poster, Reporting Requirements per AB40, Resident Bill of rights, Resident Personal Rights, Evacuation Routes and facility license were all posted as required.

Exit interview held with Mr. Ryan r and a copy of report given at the conclusion of the visit.