Facility Evaluation Report

At 8:00am on 07/08/2026, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility annual inspection. LPA met with Administrator, Vanessa Garcia, LPA announced who he is and the reason for the visit.

Administrator and LPA conducted a physical examination of the facility. This facility is a 3-bedroom with double client occupancy, one on site bathroom (Bedroom #1) and one jack and jill type bathroom between bedroom #2 and bedroom #3. There is a family room, kitchen and dining area, as well as a staff office adjacent to the kitchen. LPA noted fire extinguisher primed in the green and located outside the staff office. LPA noted that there is a fenced back yard with seating and shade for clients. LPA test smoke and carbon monoxide detectors to be functioning properly. LPA noted all passageways and exits to be free and clear of debris. LPA noted that medications and confidential files are locked and stored in staff office. LPA noted that there is a complete first aide kit located in the staff office. LPA noted that water temperature was tested to be in regulation perimeters. LPA noted that all client bedrooms were appropriately furnished per regulations. LPA observed at least 2 days of perishable foods and at least 7 days of nonperishable foods on hand for 6 clients and staff. LPA conducted a file review consisting of staff and client files, emergency disaster plan, infection control plan, surety bond, and centrally stored medication records. LPA issued one citation for black mold in the kitchen are for general cleaning of the facility (85095.5(a)(2)(A). No other violations, citations or technical were noted during the facility physical inspection. LPA noted that this facility is updating a new facility Administrator to Vanessa Garcia.

Administrator and LPA conducted a full review of the annual care tools modules. LPA noted, no other violations, citations or technical assessments. Exit interview, report read, appeal rights and report provided.