Facility Evaluation Report

04/24/2025 11:15 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with administrator Michael Collin Harris ( Admin cert #6070715735 exp. 08/18/2026) and explained the purpose of the visit.

LPA Knight and the administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to four (4) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed.

During record review LPA observed 1 of 4 client files does not include a record of TB clearance.

Common area, kitchen and bathrooms were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Medication is locked in a cabinet.

Fire extinguishers fully charged and inspected. Smoke detectors are all operational. All employees requiring background checks are cleared.

There are no pools/bodies of water are on premises. Last disaster drill was conducted in January 2025 which was an earthquake drill, the facility has been conducting fire drills monthly. Facility provides activities according to each client's preference.

A deficiency is being cited on the attached LIC809-D in accordance with California Code of Regulations, (Title 22). Appeal rights were provided, and an exit interview conducted.

A copy of report was provided to administrator Michael Collin Harris.