Facility Evaluation Report
On 7/10/23 at 12:57 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by staff. Administrator (ADM) Emily Carpenter arrived a short time later.
LPA toured the inside and outside of the facility. LPA did not observe any obstructions. Smoke and carbon monoxide detectors tested and operational. Hot water in hall bathroom measured at 113.3 degrees F. Sufficient 2-day perishable and 7-day non-perishable food supply observed. Chemicals observed in locked storage in garage. Medications observed locked in kitchen pantry. No fire clearance issues.
Due to technical difficulties, LPA will return for an Annual continuation inspection to complete the Inspection Tool. Other observations made today will be addressed in annual continuation inspection.
The following updated forms are to be submitted to CCL within 2 weeks:
LIC500, LIC610D, LIC9020, LIC400, LIC402, All documents for change of Administrator (list of documents will be emailed to Administrator)
Exit interview conducted. A copy of this report was given to Administrator Emily Carpenter, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction