Facility Evaluation Report

On March 27, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. LPA met with Administrator, Marcie Barber and explained the purpose of the visit.

LPA toured the facility inside and outside including all of client rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two story facility. There are three client rooms; all of which are single private rooms. Client rooms were observed with required furnishings. One full bathroom was observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 134-140 degrees F. First aid kit was observed to be complete.

Dining room was observed free from tripping hazards. A comfortable temperature of 69 degrees F is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Medications, sharps, and chemicals were observed locked an inaccessible to clients in care.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of

November 2024. Emergency drills are being conducted quarterly. LPA was unable to review 2 client files as they were not available at the facility. LPA reviewed 3 staff files but staff records were not complete. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

Deficiency was observed during the visit and cited from the California Code of Regulations, Title 22 and Health and Safety Code. See LIC809-D. Report is reviewed with Administrator and a copy is provided.