Facility Evaluation Report

Licensing Program Analyst (LPA) Renee Campbell conducted an unannounced Annual 1-Year Required visit on this date. LPA met and toured with Caregiver Sequioa Chambers and later House Manager Renisha Miles. The administrator Tanya Sloan currently holds a certificate (#6052402735).

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees Fahrenheit. The hot water temperature is maintained at 110 degrees Fahrenheit. All outdoor and indoor passageways were kept free from obstruction. Rooms were furnished appropriately. There was an adequate supply of toiletries, hygiene supplies, and extra linens. LPA observed clients’ linens were in good repair. There is a minimum of 7-day nonperishables and 2-day perishables foods.

The last disaster/fire drill was last conducted on 06/01/2023. Fire extinguishers, smoke detectors and carbon monoxide were checked. LPA reviewed staff record files and the facility has sufficient staffing to provide the services needed to meet the clients’ needs. All staff have criminal record clearance and are associated to the facility. LPA reviewed 5 of 6 client files and reviewed 3 of 7 staff files.

The following forms are to be updated and submitted to CCL by 06/21/2023:

LIC 308 Designation of Administrative Responsibility

No deficiencies were cited during this inspection.

Exit interview conducted. Report provided.