Facility Evaluation Report

LPA Jeung toured facility and grounds. This 4- bedroom home has 2 full bathrooms, kitchen, office, and living area, and accommodates personsl with special health care needs. There is a rear deck and level, fenced back and side yards. A detached storage shed is in the backyard. There are no accessible bodies of water nor fire safety hazards observed. In each clients' private bedroom, there is a sink and locked medication cart. Toxins are stored appropriately and inaccessible to clients, and facility is clean, safe, sanitary and in good repair. Hot water temperature is tested in main bathroom at 115 degrees. Carbon monoxide detector is tested and operable. Food supply--consisting partly of liquid nutrition for 2 residents--and first-aid kit are inspected and complete. Client files are reviewed, including centrally stored medication records and personal and incidental money records. Disaster drills are documented; the most recent was performed 4/1/25.

Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Luz Canares is a certified ARF administrator (x 2/27) that oversees facility operations. There is no staff room, as facility employs awake night staff.

Property lease expires this year. Renewed, signed, current lease agreement is requested to be submitted to CCLD by 4/29/25.

The following information is provided to LPA:

Deficiency of the California Code of Regulations, Title 22, is cited on a following page. Also, see Technical Advisory Notes, 1 page.