Routine inspection·October 30, 2025

LPA Jeung toured facility and grounds, including two detached storage sheds. This is a 2-story building; staff occupy the 2nd floor and clients reside on the ground level, where there are 2 shared and 2 private client bedrooms, two kitchens, living and dining rooms, foyer, and two full bathrooms. On the upper level, there are large open spaces for living and family rooms, full kitchen, 3 bedrooms for staff--one room has 2 beds, another room has one bed for one staff, and the master bedroom has one bed for 2 staff, with an adjacent full bathroom--and second full bathroom. There is no garage. Washer and dryer are located on ground level utility room. Wooden ramp in the backyard accesses 2nd floor. No residents are present. No accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients, and a comfortable temperature is maintained. Bathing facilities are equipped with grab bars and nonskid flooring material. Hot water temperature is tested in clients' bathroom at 107 degrees. Food supply and first-aid kits are inspected. An Emergency Disaster Plan is posted. Client files are reviewed, including clients' Centrally Stored Medication Records. All clients are ambulatory, and all but one are under age 60. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Stephanie Veridiano and Rommel Dionson are certified RCFE administrators (x 4/27 & 5/27) that oversee facility operations. Continued on following page. The following forms are requested to be updated and returned to CCL by 11/13/25: • LIC 309 Administrative Organization • LIC 500 Personnel Report • Corrected facility sketch/floor plan for ground floor The following updated information is provided to LPA today: - proof of current surety bonding - proof of current liability insurance Deficiencies of the RCFE California Code of Regulations, Title 22, are observed and cited on a following page. See also Technical Advisory Note--one page.