Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived to conduct a pre-licensing inspection and was greeted by co-licensee/Administrator, Jonathan Kiesler and co-licensee, George Portan.

At approximately 1:40PM LPA and Administrator toured the building and grounds. The home is clean, organized, at a comfortable temperature with all exits free from obstruction. Facility is a two story residence with four bedrooms and two bathrooms upstairs. Three of the bedrooms, bathroom will be used by clients and the master bedroom/bathroom will be used by staff. The main level of the home is made of two family rooms, dining room, kitchen, bathroom, garage and an indoor back patio. All client rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table.

There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. LPA observed several snacks available in kitchen. Cleaning supplies and toxins are inaccessible to clients. Facility has areas inside and outside for visiting and activities. There was an appropriate supply of linens, hygiene products and paper products available for clients.

Facility received an approved fire clearance dated January 16, 2024 for four (4) ambulatory clients by the Benicia Fire department. LPA observed charged fire extinguishers in every floor that were purchased on 1/15/2024. Smoke detectors and carbon monoxide detectors were observed. Facility has an Infection Control plan and Emergency Disaster Plan on file. Hot water temperatures found to be within Title 22 Regulations of 105 to 120. Administrator Certificate 6067485735 for Jonathan Kiesler expires 8/28/2025.

No Deficiencies or Advisories given during visit. Pre-Licensing inspection is complete. Component III was conducted with Applicant.

LPA will then submit Pre-Licensing Application Report to the Application Unit Analyst in Sacramento. Application Unit Analyst will notify Applicant of Status.