Facility Evaluation Report

Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Staff Members, Nicolette Taylor and Carlette Sharpe and explained the purpose of the visit. The purpose of this visit was to conduct an annual visit. LPA asked the SM Taylor and SM Sharpe notify the Facility Designated Administrator (FDA), Iboni James, that CCL was present at this time.

Shortly after, LPA Pascua was met by Facility Designated Representative (FDR), Kenroy Anderson.

Current census was 4. 2 out 4 residents were in their respective rooms during this visit. 2 out 4 residents were out at the facility on outings at this time. This facility is licensed to serve residents who are 18 through 59 and may be ambulatory only. This facility may also serve and retain Level 7 residents and vendorized by Valley Mountain Regional Center.

LPA reviewed 4 resident files and 4 staff files. All staff and resident files were complete and up to date.

A tour of the facility was conducted. The administrator has a current and active administrator certificate #6066151735 and expires on 07/09/2027.

Upon entry at the facility. It was observed that the facility had a new enclosed office space next to the living room. LPA Pascua inquired if the facility sketch was provided to the department to initiate a new fire clearance. FDR Anderson stated and provided LPA Pascua a new fire clearance that was approved for the enclosed office space on 07/18/2025 by Modesto Fire. In addition, a new facility sketch was provided to LPA Pascua. LPA Pascua advised that once any changes happen at the facility to inform the department to initiate a new fire clearance.

LPA toured the living room which will be used for a facility game room for residents in care. Furniture and furnishings were observed to be in good repair.