Facility Evaluation Report

On May 21, 2025, Licensing Program Analyst (LPA) Murial Han, Fire Inspector and Deputy Building Official conducted an unannounced Case Management visit to follow - up on an observation that was made during the annual inspection by LPA. LPA met with the caregiver, Genalyn Napo and LPA explained the purpose of today's visit.

During the annual visit on May 12, 2025, LPA observed 2 rooms on the lower level did not match the facility sketch and according to staff, both rooms were occupied by staff members. Therefore, LPA contacted the San Mateo Fire Inspector for assistance.

During today's visit, LPA, fire inspector and the deputy building official observed downstair level consisted of one staff room next to the garage that is occupied by 2 current staff members and another room that was not shown on the facility sketch consisted of mattresses, TV, toaster over, refrigerator, and other personal living items. According to the fire inspector and the building official, the room next to the garage can be used as living space for staff temporarily and the other room shall not be used as a living space, but it can be used as a storage room only. In addition, they will provide a plan for today's observation and work with the facility and CCL.

The administrator arrived during the inspection, and LPA related the above observation.

Deficient is cited under California Health and Safety Code on the LIC 809D. Failure to correct the deficiencies may result in civil penalties.

Report was discussed and reviewed with administrator.

A copy of this report and the Appeal Rights is provided.