Facility Evaluation Report

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to conduct a quarterly visit. LPA met with staff and explained the purpose of the visit.

Facility program administrator will ensure compliance plan is being followed

Licensee will ensure facility program administrator is physically present at facility for a minimum of 40 hours per week

· Building and Grounds (Monthly physical plan inspection)- for the months of January to March

· Monthly audits of medication orders and skin/body check forms to ensure accuracy- for the months of January to March

· Continue to follow all closure/facility program transition procedures as set forth by Title 22 regulations and Regional Center requirements.

. Staff schedules for the months of January to March.

During this visit it was observed that the administrator of record was not present in the facility. LPA Lewis learned that the sale of the facility should be complete by mid May of 2026.

LPA was not able to review any documentation during the visit as it was on the administrator's computer and staff could not access it.

Documents are to be sent to LPA Lewis by 04/08/2026 by COB. Kesha.Lewis@DSS.CA.GOV