Facility Evaluation Report
At 8:25am on 04/03/2026, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct the facility annual inspection visit. LPA met with Program Administrator, Traci Autry, announced who he is and the reason for the visit.
This facility is three story building with 5 bedrooms, 4 bathroom, with 3 of 5 bedrooms on the third floor, and 2 bedrooms on the second floor including an activity room. The first floor has dining room kitchen, office, locker/laundry room and garage. This facility is set in a rural area on approximately 5 acres. Staff and LPA conducted a cursory physical tour of the full facility and facility grounds. LPA noted that this facility is on septic and well water. LPA noted that the facility had smoke detectors that were battery operated and functioning throughout the facility. LPA noted that there were two working carbon monoxide detractors tested and functioning properly. LPA noted that there were several fire extinguishers located throughout the facility that were all primed in the green and tagged working. LPA noted that all passageways and doors were free of obstacles and clear. LPA noted that there is a fire chair located at the top of the stairs on the third story landing. LPA noted that there is at least 7 days on non perishable foods and at least two days of perishable foods on hand for 10 clients and staff. LPA noted that medications are secured in the office and locked in a medication cabinet. LPA conducted a cursory medication audit and noted a medication error with Client 1 (C1) LPA issued a citation with plan of correction for the mediation error [80075(k)(7)(H)]. LPA noted that there were no other citations issued during the facility physical plant inspection. LPA reviewed emergency disaster plan, infection control plan and client files.
Administrator and LPA conducted a full review of the annual care tools modules. LPA noted no other violations or citations. Administrator and LPA discussed flooding potential and the importance of replacing old sandbags in the event or a server weather occurrence,
Exit interview, report read, citation issued, appeal rights and report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction