Facility Evaluation Report

On 2/06/2024 Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced required 1 year inspection. LPA met with administrator, Rosalinda Amacan.

LPA toured the facility including but not limited to four (4) bedrooms, two (2) bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water present at this facility. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 120.0 degrees F. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene were available for clients. All four (4) clients are bedridden with approved fire clearance from Fremont Fire Department. Three (3) clients are on G tube and one (1) is on J tube feeding. Fire extinguisher last serviced on 2/6/2024. Disaster drill last conducted 1/23/2024. First aid kit inspected and complete. Emergency disaster plan posted and dated 5/16/2023.

Four (4) client records were reviewed at 9:30 am. All clients had a current needs and service plan, admissions agreement, and medical assessment on file. Four (4) staff records reviewed at 9:05 am. All staff were fingerprint cleared and associated to the facility. Staff reviewed had current first aid/ CPR and in good health to perform job functions. P&I reviewed for three (3) clients. P&I was intact and not commingled with facility funds.

No deficiencies, exit interview conducted. A copy of this report provided.