Facility Evaluation Report

On May 6, 2026, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a Required Annual Inspection. LPA met with Ken Williams, Administrator, Cynthia Ruvalcaba, lead staff, and Velvet Peterson, Program Director, and explained the purpose of the visit. During the inspection, all clients were at at off-site day programs.

LPA and Staff toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: common areas, four (4) resident bedrooms, two (2) bathrooms, kitchen, garage, and backyard. All areas observed were found to be clean and in good repair. All walkways were clear of obstructions. LPA observed each bedroom to have the required furnishings and working lights. LPA observed the facility to be at a comfortable temperature. There were various activities available for client recreation including games, movies, crafts, and a basketball hoop.

Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed all medications, sharps, and cleaning supplies to be locked away and inaccessible to clients in care. LPA reviewed Medication Administration Records (MARs) and found them to be accurate.

LPA observed (2) two fire extinguishers which were last inspected in March 2026. Smoke detectors and carbon monoxide detectors were observed and found to be in working condition. The facility is conducting emergency disaster drills monthly with the last drill being documented in April 2026. LPA observed a complete first aid kit ready for use.

LPA reviewed a total of four (4) resident files, two (2) of which were missing an updated needs and services plan. LPA reviewed four (4) staff files which contained all the required documentation. All staff are fingerprint cleared. Administrator certificate is current.

Deficiencies are being cited from the California Code of Regulations, Title 22, and are recorded on the attached LIC 809-D. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and Appeal Rights were provided, via email, to Program Director, Velvet Peterson, via email.