Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a Pre-Licensing Inspection with Applicant Representative/Administrator Christa Carmona. This application is a Change of Location application with clients in care. An Application to operate a Social Rehabilitation Facility (SRF) was received by Community Care Licensing (CCL) on 11/07/2024. Fire Clearance was approved for a maximum capacity of six (6) ambulatory clients on 11/13/2024.

The physical plant is a two (2) story single family dwelling located in a residential beach side neighborhood of Oxnard, CA. Beginning at 02:16PM, tour of the physical plant was conducted and the following observed:

GARAGE: Locked Garage was observed to be located on the entry level. The garage contains extra food, storage, chemical storage in a locked office area adjacent to the garage.

COMMON AREAS: These include the Living Room/Group Room and Dining Room. The common areas were furnished to accommodate a maximum capacity of six (6) clients. There were no immediate hazards observed. Fire extinguishers were observed throughout the facility; all were observed to be fully charged and last serviced 05/29/2024. Hardwired combination carbon monoxide/smoke detectors were tested and were functional. The facility laundry area is located on the second story.

TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: The Living Room is also utilized as a group therapy room on the lower level. There is also a Nurse's Office/Medication Room on the second story. Medications are stored in a locked cabinet in the nurse's office, which contains adequate locked storage, as well as a locked refrigerator. A complete 1st Aid Kit is stored in the Medication Room.

KITCHEN: Appliances and fixtures appeared clean and functional. There was sufficient perishable and