Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee Tess Hayes. Clients were attending Day Program. Required postings were observed.

LPA/Licensee initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and pathways were free from obstructions. Client rooms are furnished per regulation. Water temperatures in client bathrooms read at 108.1 and 108.5 degrees which is within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet. Fire extinguisher was last inspected February 2026. Smoke detectors and carbon monoxide detector were tested and operational. Most recent Fire/Disaster drill was conducted 9/01/25. Facility does have a current activity calendar and menu. Cash resources and documentation were reviewed.

At 11:30am LPA initiated file review of three client and three staff files. All clients' records have updated care plans on file. All staff have current CPR/1st aid certificates; However, one out of three staff (S1) needs required annual training hours complete. Administrator Certificate for Tess Hayes 7034209735 expires 8/19/2027. Medications are centrally stored in locked cabinet and medication records were reviewed.

Administrator agreed to submit updates of the following documents by 2/27/2026: LIC500 Personnel Report, LIC308 Designation of facility responsibility, Surety bond and LIC400 cash affidavit for clients.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. E xit interview conducted with Licensee and a copy of this report was given.