Facility Evaluation Report

Licensing Program Analyst (LPA) Jason Lund arrived at the unannounced facility to conduct a required one- year annual visit. LPA Lund met Staff Brian Casner and spoke with Licensee Mona Gaskill and explained the purpose of today's visit. Licensee could not make the visit and gave permission for Staff Brian Casner to sign required paperwork.

LPA Lund & Staff Brian Casner toured the grounds and observed ample shaded areas and patio furniture for client engagement in outdoor activities. LPA Jensen toured the interior and observed adequate furnishings and lighting throughout. A pellet burning stove, which was serviced last week, provides heat in cooler temperatures. LPA Lund tested the water temperature at the lower-level sink and found it to be within the required range. Night- lights in hallways are available. The smoke detector and carbon monoxide detector were tested and determined to be on good working order. The first aid kit is complete and in compliance. The facility conducts annual fire drills.

The kitchen was toured. A 2- day supply of perishable food and 7- day supply of non-perishable food is available including fresh fruit vegetables and various snacks. LPA toured the client bedrooms and observed adequate furnishings in all rooms. The bedrooms are double occupancy and there are currently 8 clients. An adequate supply of linens was observed. LPA Lund reviewed 2 Staff and 2 Resident files that were locked and ready to be available for review.

No deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. Exit interview conducted with Staff Brain and a copy of report left at facility