Facility Evaluation Report

A required annual inspection was conducted today by Licensing Program Analysts (LPA) Zabel Chochian. Upon arrival, LPA was greeted at the door by licensee representative, Cami Hershkovitz and reason for the visit was stated. The facility is vendored by Tri-Counties Regional Center (TCRC) as a level 3 and 4-i home as of 02/01/2026. Accessory Dwelling Unit (ADU) in the back census is three (3) clients and the front main house census is one (1). Last disaster drill was completed 1/2026.

At approximately 10:45 a.m., a physical plant tour of areas inside and outside was conducted to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

BEDROOMS: There are four (4) client bedrooms in the main house and four (4) client bedrooms in the Accessory Dwelling Unit (ADU) in the back. The LPA observed the client bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

RESTROOMS: There are two (2) client restrooms and one (1) guest/common restroom in the main house; and two (2) client restrooms in the back ADU. Restrooms were observed clean and sanitary and in operating condition. The bathrooms were sufficiently stocked with liquid hand soap/bar soap for individual use and paper towels; and individual towels and washcloths for clients use (not shared). The hot water temperature was measured in bathrooms used by clients which measured between 117.4-120 degrees Fahrenheit.

COMMON AREAS: Living room and dining room furniture was observed to be in good condition in the main house. Living room and furniture in the ADU also observed in good condition. The facility maintained a comfortable temperature in both units. There is a worki ng telephone on premises. Smoke and carbon monoxide detectors tested functioned properly. (Continue to LIC809c)