Facility Evaluation Report

At approximately 9:40 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived announced to conduct a required 1-year annual inspection and was greeted by George Porter, Administrator. Facility is an Adult Residential Facility (ARF) with a capacity for four (4), with zero (0) clients in care at time of visit. Facility is currently working to be serviced by vendor North Bay Regional Center (NBRC).

At approximately 10:00 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a two (2) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and purchased 12/24. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperatures in client bathrooms read at 109.5 degrees and 112.2 degrees which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. Clients' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. There is a seating area in the backyard and an enclosed lounge with room for activities.

Administrator Certificate for George Portan certificate number 6067487735 e xpires 8/28/2025.

Updated copies of the following documents are to be submitted to CCL within 30 days of this visit :

No deficiencies cited. Exit interview conducted with Administrator , whose signature on form confirms receipt.