Facility Evaluation Report

LPA Audrey Jeung toured facility and grounds, including detached storage building, which is locked and inaccessible. There are 5 client bedrooms, two full bathrooms, one staff bedroom--with 2 beds--living/dining room, and kitchen. Clothes washer and dryer are located in two car garage. The backyard is level, fenced and mostly paved. Medications are secured in locked cabinet in kitchen. There are no accessible bodies of water or fire safety hazards observed. Carbon monoxide detector is tested and operable. Hot water temperature is tested in bathroom. A comfortable room temperature is maintained, and lighting is sufficient for safety. First-aid kit is maintained and complete. Perishable and non-perishable fruits, vegetables and protein are maintained, as well as supplies of bed and bath linens and hygiene products. A Disaster and Mass Casualty Plan is posted. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Client files are reviewed, including Centrally Stored Medications Records.

Mariluz Arimas (x 11/26), Merlito Arimas (x 9/26) and Mialynn Arimas (x 12/27) are certified RCFE administrators that oversee facility operations.

The following licensing forms are requested to be completed and submitted to CCLD BY 6/3/26:

Proof of current liability insurance is given to LPA today.

Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. Also, see Technical Advisory Note--8 pages.