Facility Evaluation Report

Licensing Program Analysts (LPAs) Daniel Konishi and Gabriela Castro conducted the required unannounced annual inspection. LPAs met with Nanzi Martinon, Caregiver who contacted the Administrator, John Christopher Ong. The administrator arrived and LPAs explained the reason for the visit. This home is licensed to serve the age range 18 through 59. Approved for (4) non-Ambulatory of which (2) may be bedridden.

LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are cleaning and disinfecting throughout the day. The facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility.

Physical Plant & Environment Safety: This home contains 4 bedrooms, 2 bathrooms, living room/Lobby, Family area, kitchen, dining room, laundry room and an attached garage. LPAs toured the physical plant and observed all (4) client bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The bed and furnishings were all in good working condition. The two bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, shower chair, and bathmat. LPAs measured the hot water temperature at 107.9 degrees F and 108.0 degrees F which are within 105 degrees F and 120 degrees F Title 22 regulations. Carbon Monoxide detectors were tested and working properly. The knives were secured and locked in a kitchen cabinet. The toxin and cleaning supplies was locked underneath the kitchen sink. Extra Linens and towels are in each clients’ bedroom. There were (2) fire extinguishers located in the family area and the dining room was fully charged and last inspected on 07/03/2025. Walls and floors, cabinets and counters were clean and sanitary throughout the home.