Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with Shelly Bray and explained the purpose of the visit.

The facility is licensed for 120 ambulatory and 10 non-ambulatory client. The facility currently has 88 clients in attendance today. LPA Johnson toured the interior of the facility and grounds. The grounds were observed to be clear of obstructions and shaded area and outdoor furniture is available for client outdoor activities.

Hot water temperature was measured at 113.5 degrees Fahrenheit in resident bathroom sink in the converted hobby shop , which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are operational.

LPA reviewed 15 resident and 10 staff files, including criminal record clearances. First aid kit was checked and is complete. LPA observed smoke detectors and carbon monoxide detectors in the facility rooms. Fire drill was conducted on 8/28/2025.

No deficiencies were observed pursuant to Title 22 rules and regulations, Health and Safety Codes.