Facility Evaluation Report

On 2-6-2025 at 10:31am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility to conduct an annual inspection visit. LPA met with the administrator Jane Mofor and explained the purpose of the visit.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an adult residential facility with a current census of 0. Facility has 4 bedrooms and 2 bathrooms for resident use. 1 extra bedroom and bathroom is for staff use. Facility has a dining area off the kitchen and a formal living room. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place. Facility is currently awaiting vendor approval from Regional Center. There are no residents living at the facility and no staff currently employed. Additionally, facility is currently under renovation.

Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 70*F. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 1-29-25. Designated medication storage area was observed to be locked.

Facility does not contain any bodies of water. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator.