Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 10 a.m. LPA Mosley was greeted by Staff / Operations Manager, Anna Pinkerman and the reason for the visit was explained. Staff informed LPA that the Administrator / Licensee Representative / Clinical Director, Dr. Shannon Dobbs would arrive around 12:00 p.m. Entrance interview conducted. LPA and staff toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a single story home located in a residential neighborhood. Dr. Shannon Dobbs arrived at 12:30 p.m. and facilitated with the visit.

INTERVIEWS : Two (2) staff interviews were conducted during the inspection. Staff interview revealed that staff are knowledgeable in client rights, different forms of abuse, and reporting procedures. An attempt was made to interview clients; however, the individuals were unable to participate at the time due to their engagement in group activity/therapy. During brief conversation no concerns were noted or voiced.

COMMON AREAS: TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: These include the living room, dining room, and meditation/sitting room, Group Room, therapy room and medication room/office in the locked garage. In the common areas, walls, flooring and furniture was observed and all were in good condition at the time of the visit. There is a fireplace in the living room which was observed to be non-functional. The facility maintained a comfortable temperature. At 11:19 a.m., hardwire combination of smoke / carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 01/14/2026. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in common hallway. The LPA observed required postings throughout the common space. Activities were observed in the common areas. LPA observed an adequate amount of emergency food and water. Report Continued on LIC 809C PAGE 2...