Facility Evaluation Report

On 09/19/2025 at approximately 09:25AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Adult Residential Facility (ARF). LPA was greeted by Administrator, Irine Cunningham. Admin Richard Cunningham arrived shortly before inspection started.

The facility has an approved fire clearance and capacity for 4 residents which 2 may be non-ambulatory.

Upon arrival, LPA was informed that there were 3 residents in care and 2 staff members on-site. Facility is a 1 story building with 4 resident bedrooms, 1 staff bedroom, 2 bathrooms, and common spaces.

At approximately 10:35AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared, however 1 out of 2 staff members weren’t associated on Guardian with the facility per regulation. Administrator stated they thought S1 was on the Guardian, and they faxed S1’s fingerprint clearance paperwork to the CCL long time ago. Administrator contacted CCL Santa Rosa office to associate the S1 on the Guardian during the inspection (Technical Advice Given) .

At approximately 11:05AM, LPA and Administrator toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Staff were in the process of cleaning up rooms at the time of this inspection. Toxins are stored in a locked cabinet under sink and in the laundry room. Water temperature measured 105.6 degrees F and 109.4 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents.