Facility Evaluation Report
Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual visit on this date. LPA met with Administrator and explained the purpose of the visit.
The facility is a single story structure with wheelchair accessibility. LPA observed all required signage, including COVID related, to be prominently posted. LPA toured the facility indoors and outdoors including but not limited to dining room, living room, kitchen, garage, 2 bathrooms, 4 bedrooms and backyard. The facility is licensed for 4 clients of which 1 can be non-ambulatory. One bathroom is for clients and has sufficient space to accommodate a non-ambulatory client and one bathroom is for staff.
Hot water temperature was measured at 115 degrees Fahrenheit in male resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers are current and in compliance with fire safety. Fire drill was conducted on 2/1/2024. Carbon dioxide monitor present. LPA reviewed 3 resident and 2 staff files, including criminal record clearances. All staff today are associated to the facility. First aid kit was checked and is complete.
No deficiencies were cited as a result of today's visit.
An exit interview was conducted and left with the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction