Facility Evaluation Report
On 7/12/23 at 1:16 PM, Licensing Program Analyst (LPA) arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. LPA met with Administrators (ADMs) Argelia Martinez and Rudy Amaya, Behaviorist Specialist Dr. Kaufman, and Program Liaison Assurance Development Jessica Pence.
LPA toured the facility. LPA did not observe any obstructions. Bedrooms observed with sufficient lighting and furniture. Bathrooms observed with hand soap, paper towels, and toilet paper. Hand washing signs observed posted for each bathroom. Hot water measured 107.1 degrees F. Fire extinguisher observed last serviced 12/13/22. Medication is centrally stored in med cart in staff office. First aid kit observed complete. Sufficient food supply observed. Chemicals observed in locked hall closet. Resident and staff files reviewed. Administrator certificate valid. Delayed egress exterior doors observed operational.
No deficiencies cited during this inspection.
The following updated forms are to be submitted to CCL within 2 weeks:
LIC500, LIC9020, LIC400, LIC402, LIC610D (new revision)
Exit interview conducted. A copy of this report was given to Administrator Argelia Martinez, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction