Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with B. Walters explained the purpose of the visit.

This is a behavior management program with a staffing ratio of 1 staff to 3 clients.

LPA inspected the physical plant suites C&D including but not limited to the general assembly area, kitchen, resident bathrooms, activity rooms, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. Hot water temperature was measured at 119.5 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. During the tour LPA and Staff observed unlocked toxins in two lockers in the main assembly area.

Fire extinguishers and smoke detectors are operational. Fire drill was conducted on 1/6/2026. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 15 resident and 8 staff files, including criminal record clearances.

First aid kit was checked and is complete. LPA observed carbon monoxide detectors in the facility. Deficiencies were cited pursuant to Title 22 rules and regulations, Health and Safety Codes. Exit interview conducted.