Facility Evaluation Report
On 11/17/2023 at 1:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with staff, Shirlene Devi and explained the reason for the visit. Administrator, Doreen Khan arrived 20 minutes later. The facility’s fire clearance was approved for 4 ambulatory clients.
LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and purchased on 5/3/2023. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105 degrees F in the hallway bathroom. There were adequate lights in each room. First Aid kit is complete. No bodies of water observed. Indoor and outdoor passageways were free of obstruction.
LPA reviewed 4 client and 3 staff files starting at 1:59PM. LPA interviewed 2 clients and 1 staff starting at 3:00PM. LPA reviewed a sample of client's medications starting at 4:30PM.
No deficiencies are being cited on this date.
Exit interview conducted. A copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction