Facility Evaluation Report

On 02/20/25 Licensing Program Analyst (LPA) Star Stevenson and licensing Program Manager (LPM) Kim Mota arrived unannounced at approximately 9:45 AM to conduct a concurrent visit with Suisun City fire Marshall Jose Colin.

At approximately 09:55AM a walk through of the facility bedrooms, kitchen, bathrooms, garage and exterior were performed with LPA, LPM and Fire Marshall Jose Colin.

Four (4) electrical cover-plates were observed to be missing in room one(1), room six(6), living room and above fire suppression system in garage. (Pictures taken)

During walk-through/observation of rooms five(5), six(6), fourteen(14) and fifteen(15) had a strong smell of urine.

At 9:50AM room seven(7) was noted to have a table and folding chair blocking the exterior door/fire exit.(picture taken)

At 10:54AM It was observed that part of a hospital bed was blocking the exterior exit ramp from room eight(8) (picture taken)

During walk-through/observation, Patio/Sunroom did not have audible wander alarm on exterior doors.

Room one(1) and three(3) were observed to have trash cans with incontinence debris with no lids.(photos taken)

LPAs observed room three(3) is missing a window screen (photos taken)

At approximately 11:00AM licensee/administrator Sukhjit Sandhu arrived. An interview with Staff (S1) stated they had not participated in a disaster drill for approximately one year. In addition licensee/administrator was unable to provide documentation of thee emergency disaster drills.