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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700551
Report Date: 08/16/2021
Date Signed: 08/16/2021 04:15:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:CAMLU ASSISTED LIVINGFACILITY NUMBER:
392700551
ADMINISTRATOR:WHITTED, ALMAFACILITY TYPE:
740
ADDRESS:6037 N PERSHING AVETELEPHONE:
(209) 951-2030
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:96CENSUS: 60DATE:
08/16/2021
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Alma WhittedTIME COMPLETED:
04:30 PM
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On 8/16/2021 at 12:15pm, Licensing Program Analyst (LPA) Ashley Boothe, arrived unannounced to conduct a conduct a Health and Safety visit based on a report that the air conditioning system in the facility is inoperable. LPA met with Administrator Alma Whitted and explained the purpose of today’s inspection. Prior to today's visit LPA spoke with Administrator regarding facility risk assessment questions who confirmed no staff or clients have experienced symptoms of COVID within the last 10 days. Current Census is 60.

The purpose of the visit was to check on the temperature in the facility. Outside temperature measured at 100*F. LPA and Administrator measured the temperature in the common areas, dining room, hallways, offices and resident rooms within regulatory range, the lowest temperature was 71*F and the highest temperature was 83*F. The facility has 70 portable air conditioning units, one for each room that residents have access to control and several large portable cooling units until the AC system is repaired/replaced. Temperatures were within regulatory range of 68*F to 85*F. Temperatures documented on log taken randomly throughout the facility and recorded and stored with facility records. No complaints from residents or staff have about the heat. LPA observed records to document no temperatures outside of regulatory range. LPA observed Resident one (R1)'s room warm at 80*F and Administrator asked if resident was comfortable and if they needed assistance to turn the air on, R1 declined and stated they were comfortable.

Per the California Code of Regulations, Title 22, Division 6, no deficiencies observed or cited. Exit interview held, copy of report given.

SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Ashley BootheTELEPHONE: (916) 708-7751
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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