The facility is in a residential area and is a one-story family home. There are two (2) resident bedrooms, one (1) bathroom, living room, dining area, kitchen, front yard, back yard, and detached garage with office. LPA conducted the tour with Kaylon Hallman and observed the following: Smoke detectors/carbon monoxide detectors were observed in common areas and in each resident’s bedroom. Residents’ bedrooms were observed to have required furniture such as bed frames, dressers, chairs, lamps, and sufficient closet space. The required bedding was also observed. The home has one (1) bathroom and was clean and sanitary. The water temperate was tested and measured at 115.2 degrees, which is within the required 105-120 degrees. Grab bars and non-slip mats were also observed in bathroom. There is a fire extinguisher in kitchen. All appliances in kitchen were observed to be clean and operational. The sharp knives are located in the kitchen drawer that is inaccessible to residents. Cleaning supplies and chemicals are stored in a locked cabinet under sink. Medications will be locked in a cabinet in kitchen. The backyard has a shaded area for residents. The home does not have a pool or any large bodies of water. There are cameras only in common areas inside the home. No records were reviewed since the home has never been licensed. Per California Code of Regulations, Title 22, the facility meets the physical plant requirements.

Component III was not conducted since applicant has another facility. Exit interview held and a copy of the report was provided to applicant.