Facility Evaluation Report

At approximately 1:10 PM Licensing Program Analysts (LPAs) Stevenson and Florio arrived unannounced to conduct a Required - 1 Year Inspection. LPAs met wtih caregiver Deajah Jefferson, who has Designation of Facility Responsibility (RP). RP called licensee Roshawn Pearson to advise of today's required inspection. Licensee Roshawn Pearson arrived at approximately 2:40 PM to further assist with today's inspection. One (1) of four (4) clients was home, and Three (3) of four (4) were away at the time of the inspection.

At approximately 1:40 PM LPAs and RP toured the facility. Facility has an infection control plan as required. Fire clearance approval is for four (5) ambulatory clients. Licensee Pearson has stated that "although fire clearance is for 5 ambulatory clients, North Bay Regional Center has only cleared the home to have four (4) clients".

Facility was found be a comfortable temperature, clean and without odors. LPAs observed missing kick plate below dishwasher and a loose door hinges of door leading into laundry room and a Technical Advisory for CCR 80087(a) was given for good repair of a facility. LPAs noted that laundry detergents and toxins are secured in a locked garage adjoining the laundry room. A fire evacuation chair purchased last year is not available at the upstairs stairwell in case of emergency and a Technical Violation of HSC 1565(f)(1) is being issued. RP notes that water temperatures fluctuate and water available to clients in care tested over the 120F allowed by regulation and signage indicating a warning that water maybe above 125F are not in place and a Technical Violation of CCR 80087(a) is being issued.

Facility conducts quarterly emergency and disaster drills with last drills conducted on 01/15/2026