Facility Evaluation Report

On 12/01/2025, Licensing Program Analyst (LPA) Ali Deniz conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Administrator, Nina German and Licensee, Jethro Nicolas arrived later in the visit. The facility currently provides care for 3 clients, one of which were attending day program or on outings and two of which were present. LPA was informed that there were 3 staff members on-site.

LPA reviewed current Guardian staff roster and found all staff to be properly associated to the facility.

LPA continued with a tour of the facility with administrator. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 02/13/2025. Smoke and carbon monoxide detectors were found throughout the facility, tested and found to be in working order. Food stored in the kitchen refrigerator were stored properly as per regulations on this day at the time of the visit. The facility staff replenish fresh food supply on a weekly basis. Knifes, cleaning supplies and other items that could be potentially dangerous if accessible to residents were all secured and inaccessible. Water at faucets accessible to clients was measured at 108.6 degrees F which is within Title 22 Regulations.

LPA continued with a tour of the backyard and outside parameters and found emergency exit along the sides of the home to be unobstructed. One shed located in the backyard for additional storage was found to be secured. The facility has a new outdoor deck space for client use. The deck space provides a more adequate outdoor leisure that accommodates non-ambulatory status clients. Medications are stored in a designated lockbox container located in the kitchen area and found to be secured. A spot medication count was conducted for clients and found to be in order.