Facility Evaluation Report

Licensing Program Analysts (LPAs) R. Campbell and T. White conducted an unannounced Annual 1-Year Required visit on 05/10/2022. LPAs met and toured with Administrator, Heather Mobley and explained the purpose of the visit.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms of which 4 bedrooms are occupied by the clients. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. The hot water temperature in the clients’ shared bathroom was measured at 109 degrees Fahrenheit. Clients’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods.

Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguisher was last serviced on October 20, 2021. Emergency Disaster Plan was last posted on 02/18/2022. First aid kit was observed to be complete. Fire drill was last conducted on 04/30/2022.

LPAs reviewed 3 staff record files and the facility has sufficient staffing to provide the services needed to meet the residents’ needs. 3 of 3 staff have criminal record clearance and are associated to the facility. . LPA reviewed 3 of 3 residents’ files.

During staff record review, LPAs observed staff #1 (S1) did not have current first aid training on file.

The following deficiency were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 ,and California Health and Safety Code. Failure to correct deficiency may result in civil penalties.

Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.