Facility Evaluation Report

On 04/10/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual

Inspection. LPA introduced self, stated the purpose of the visit, and met with Administrator Jesus Gonzalez. No client was present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Fire extinguisher was observed with a service date of: 009/21/23. Fire drill last completed on 02/19/24. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at -6 degrees F and refrigerator temperature was maintained at 39 degrees F. All clients' bedrooms and vacant bedroom were toured. Bedroom were observed to be adequately furnished with bed, dresser, and adequate lighting. Bathroom was toured and hot water temperature was tested 110.2 degrees F. Medications were checked and observed kept locked in hall closet. Clients’ MARS was reviewed. Outside of facility toured. Side gate was self-closing with free of debris. Outside was observed with adequate outdoor seatings available for clients. Swimming pool was observed fenced and locked. All clients’ and sample of staff files were reviewed to have all the required documents. Carbon monoxide and smoke detectors were tested and observed to be operational.

No deficiency was cited during inspection.

Exit Interview conducted. The requested documents are to be submitted to the department by 04/16/24: control of property, Lic 308, Lic 500, Lic 610D, Lic 9282, and Lic 9020. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.