Facility Evaluation Report

LPA Audrey Jeung toured facility and met with program director Dulce Moreno. There are 20 clients and 6 staff present. Clients are developmentally disabled and are overseen by San Andreas Regional Center.

Facility consists of reception area, activity areas, kitchen, 2 bathrooms, isolation room, storage room, and 5 offices. The facility does not provide meals as clients bring their own meals and snacks from their respective homes. Facility is observed to be clean and well maintained. Four exits are clear of obstruction.

Smoke alarm and carbon monoxide detectors were inspected by third party vendor on 5/21/25 and the detectors are noted to be in working condition. First aid kit is observed complete. The last disaster drills were conducted on 6/17/25 and 5/27/25. Hot water temperature in restroom sink tested at 107 degrees F.

Random staff and client records reviewed.

The following forms/information are requested to be submitted to CCLD BY 7/7/25:

- Designation of Administrative Responsibility (LIC308)

- proof of control of property (signed, dated lease agreement)

Infection Control Plan and updated Emergency Disaster Plan (LIC610D) are given to LPA today.

Deficiencies of the California Code of Regulations, Title 22 is observed and cited on a following page.

Report reviewed program director and a copy of the signed report was provided.