Facility Evaluation Report

01/14/2025 01:30 PM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with staff Pamela Dennis and explained the purpose of the visit. Licensee Elizabeth Mason was unavailable for the inspection.

LPA Knight and staff toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to four (4) client rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared.

Activities are planned at the client's request and clients are taken out in the community by staff. Clients plan activities according to their own desires and abilities, the clients are very independent. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. There is an adequate supply of toiletries for the clients. Medication is locked in a cabinet.

The facility was observed to be at a comfortable temperature. Hot water measured between 105 – 120 degrees F. Common area, kitchen, bathrooms, and storage areas were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Food appears to be stored and prepared properly. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational. No pools/bodies of water are on premises. Facility has been conducting fire drills monthly.

Deficiencies are cited from California Code of regulations, Title 22 and citations are listed on the attached LIC809D. LPA observed discarded televisions and other items in the back yard. LPA observed a cabinet in front one of the exits to the back yard which is blocking the exit.

Exit interview conducted and a copy of the report was provided to licensee.