Facility Evaluation Report

On 04/16/24 at 11AM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced required annual inspection and met with administrator (ADM). LPA explained the purpose of the visit with ADM. ADM has current administrator certificate# 7011451735 which expires 03/10/2026.

LPA toured the facility inside out with ADM. LPA inspected the living room, kitchen, dining area, bedrooms, bathroom, laundry room, side, and backyards. Food supplies were observed sufficient good for seven (7) days of non-perishables and two (2) days of perishables, and protected from contamination. Facility has working carbon monoxide and smoke alarm detectors. Fire extinguisher checked, observed fully charged, and tag showed serviced on 08/13/24. Hot water temperature in the bathroom was tested and measured at 108.3 deg F. First aid kit inspected and observed complete with manual. Facility staff conducts fire and earthquake drills with clients every other month. All indoor and outdoor passageways were free of obstructions. Adequate supplies of PPE were also observed stored in the garage. Facility follows daily cleaning, sanitation of frequently touched common surfaces using Clorox and Lysol disinfectants. Infection control leader is the ADM. LPA reviewed 2 staff and 5 client files during visit.

Updated copies of the following documents were obtained from ADM:

 LIC500- Personnel Report, Client Roster

 LIC308- Designation of Facility Responsibility

 LIC610D- Emergency/Disaster Plan/Infection Control Plans

No deficiencies cited during this visit. Exit interview conducted and a copy of this report provided.