Facility Evaluation Report

On 5/20/25 at around 8:00 am, Licensing Program Analyst (LPA) Kelly Nguyen arrived at the facility to conduct an annual required inspection and met with Administrator (ADM) Angela Pascual to explain the visit's purpose.

LPA observed that the facility has one client and two care staff.

LPA toured the facility with ADM. The facility was observed to be clean and odor-free. Hot water was measured at 107.2 degrees Fahrenheit. A sufficient supply of perishable and nonperishable foods was observed.

There was a supply of hygiene products, warm blankets, sheets, and towels. Hallways and passageways were observed free of obstruction. Carbon monoxide and smoke detectors were tested and observed to be functional. There was a covered aquarium observed in the dining room.

Fire Drill last conducted on 4/6/25, Emergency Disaster last updated 5/20/25, and Fire extinguisher last inspected on 4/21/25. The facility currently holds a surety bond of 3000 effective 5/20/25. The facility has two vehicles that have effective registration and insurance.

LPA reviewed 4 client records and 3 staff records. The first aid kit was complete. P & I money and log were verified and observed to be accurate and updated.

No deficiencies cited during visit. An exit interview was conducted, and a copy of this report was provided.