Facility Evaluation Report

LPA Audrey Jeung toured facility and grounds, including 4 detached storage sheds and 2 storage cabinets in back and side yards. There are 3 shared client bedrooms--all with exits to outside--2 full bathrooms, a staff room with 2 bunk beds, office, living room, dining/family area, kitchen and 2 car garage, where washer and dryer are located and a sofa used by staff for resting. There are no accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients. Hot water temperature is tested at 115 degrees in clients' bathroom. Carbon monoxide detector is operational. PPE and first-aid kits are inspected and complete. Hygiene items for general use are maintained. An Emergency Disaster Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact are verified, as well as first-aid certification and required records for all caregivers. Client files are reviewed and are complete and medications records are maintained. Maricel Galicia is a certified ARF administrator (x 12/24) that oversees facility operations.

The following licensing forms/information are to be completed and returned to CCL by 9/25/24:

Proof of control of property (current signed lease agreement)

The following documents are provided to LPA today:

- Updated Emergency Disaster Plan (LIC 610, 9 pages, signed and dated)

Deficiencies of the General and ARF Licensing Regulations, of the California Code of Regulations, Title 22, Division 6, are cited.