Facility Evaluation Report

At approximately 12:20PM, Licensing Program Analyst (LPA) Stevenson arrived unannounced to continue a Required 1 Year annual inspection visit and met with licensee Julie Martuscello.

LPA were informed there were currently 1 client in care 3 at day program and 4 staff members on site.

At approximately 12:35 PM , LPA observed and took additional pictures of living structure in the garage with walls and lockable door not on their fire/facility sketch. Licensee reports no permit for structure. LPA observed made bed, pillows, night stand, luggage, desk with hygiene products/toothbrush, dresser (additional pictures taken)

At approximately 12:50PM Administrator Aleha Devera arrived to the Facility.

At approximately 1:00 PM LPA reviewed the Facility's Staff Roster and found that all staff members on site were background cleared and associated to the facility per regulation. LPA reviewed staff files and medication. Staff files were all found to be well organized, thorough and contained the required documentation. Staff have current first aid/CPR certification and TB clearance. Medications was observed to be centrally stored and secure. P&I money was accounted for and not co-mingled.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, or repeat violations within a 12 month period, may result in a civil penalty assessment.

**An immediate Civil Penalty in the total amount of $500 is being assessed for the observed un-permitted structure built in the garage that is not indicated on available and posted fire/facility sketch, which is a fire clearance violation and immediate health, safety, and/or personal rights violation to persons in care (See LIC421IM)**.

Exit interview conducted with Administrator, whose signature on form confirms receipt. Appeal rights provided.