Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a required annual visit and inspection. LPA met with Program Director Ayana Churn. Entrance interview conducted.

Beginning at 11:23AM, the LPA, along with Administrator Jesus Cardenas toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher was observed to be fully charged and last serviced 11/16/2022. Carbon Monoxide detector was tested at 12:31PM and was functional at the time of the visit.

KITCHEN: The facility is equipped with two separate kitchens designated as Kitchen A and Kitchen B. Both kitchens were equipped with fixtures and appliances that appeared clean and functional. Knives and sharps are stored in a locked cabinet. There was an adequate supply of perishable and nonperishable food to accommodate 15 clients for one week.

BEDROOMS: There were 15 bedrooms designated for client use. Ten (10) client bedrooms were observed during today's visit. All bedrooms observed were furnished for single occupancy and were properly furnished, including adequate supplies of bedding and linen. No visible hazards were observed.

BATHROOMS: Each of the bedrooms observed included an individual half bathroom equipped with a sink and commode. All bathrooms observed were properly supplied with paper products and personal hygiene items and fixtures were observed to be functional at the time of the visit. There were four shower rooms, two at each end of the facility designated for client use. Water temperature was measured in various bathrooms throughout the facility and measured at 103.4 degrees Fahrenheit at 11:56AM in room 10's restroom, 102.6 Report Continued on LIC 809-C