The facility is a two-storey building with nine (9) bedrooms and nine (9) bathrooms, pantry, activities areas/common rooms on both floors, lactation room, staff offices, medication room and outdoor areas. It has an approved fire clearance for fourteen (14) clients and two (2) non-ambulatory clients on Room #3 and Room #4. The facility uses surveillance cameras in the common areas inside.

There is a screening station upon entry which contained a hand sanitizer, gloves, mask and a visitor log. Postings included grievance procedures, personal rights, confidential complaint contacts, house rules. Will also post activity schedule and facility menu. Walls, floors, ceilings, windows, and blinds were clean and in good repair. At approximately 10:35 AM. LPA reviewed the last smoke alarm test done at the facility on 02/22/24. LPA measured the room temperature to be at 74°F. At 11:05 AM. LPA tested the carbon monoxide detector to be operational. Hot water temperature was set at 118°F in the boiler room. LPA measured the water in a hallway bathroom to be at 114.2°F. Past the reception and screening station were an intake office and a mud room. The mud room contained a laundry and dryer machines, toilet and shower and will have Zapp machine for sanitation and bed bug prevention. Janitor closets with cleaning supplies on the first and second floor were locked. Extra linens, client lockers, activities, board games, and hygiene supplies were located in storage closets on the first and second floor. The facility has emergency water supplies and emergency food supplies in the first-floor pantry. The pantry contained sufficient supplies of non-perishable only food at this time. The pantry also contained refrigerators, freezers, cooking tops and a retherm unit. Sharps will be locked in a cabinet by the sink in the pantry. The dining room outside of the pantry contained utensils, coffee machine and snacks.

(continued on LIC 809-C)

The facility has a total of nine (9) bedrooms. Two (2) bedrooms on the first floor are private. Two (2) on the first floor and five (5) on the second floor are shared bedrooms. All bedrooms had doors which could be opened from the outside in case of emergency. All bedrooms are appropriately furnished with bed, chair, drawer, night-stand, emergency lighting and emergency pull cords. All bathrooms also have pull cords for emergency. Facility sketches with evacuation routes and clearly labelled storage and laundry rooms. The facility has sufficient stock of beddings and linens. LPA tested the pull cord in a room on the ground floor. The light above the doorway signaled couple with auditory alarm. The office computer located in the reception was alerted. The light and audio alert were only cleared when a staff went to the room to clear the alert.

Laundry machines are located on the first floor with locked cabinets for detergents. All the facility nine (9) bathrooms contained liquid soap, paper towels, hand washing instruction signs and grab bars near toilets and shower. Staff offices, medication room, lactation room, and bedrooms were on the second floor. The medication room contained a refrigerator and a locked medication cabinet with extra locked storage. The facility has multiple complete first aid kits in the pantry, medication room and reception office. LPA observed the fire extinguishers on both the ground and second floor were full and last serviced on 11/23/2023. All emergency exit paths were free from obstructions. Exit doors were unlocked. Emergency Disaster Plan posted. The facility has pull stations and sprinkler system installed. Smoke detectors are hardwired and interconnected. The outdoor area was sanitary and free of hazards. Outdoor space included shaded furniture in good condition.

Component III was waived with the approval of LPM Agard as the Licensee has another Social Rehab facility with the same capacity in Downey CA that he ran for more than a year now.

This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.

Exit interview conducted. Copy of report issued.