Facility Evaluation Report

On 12/02/2025 at 09:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Green Meadows Home 2 Facility. LPA Calderon was allowed entry into the facility by Administrator Vichea Chhuon. The facility is licensed to operate for four (4) ambulatory adults ages 18 through 59. Currently, there are four (4) residents residing in the facility, between the ages 18 through 59 with cognitive issues.

LPA Calderon explained to Administrator Chhuon the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Four (4) client service records, four (4) client medication records (MAR), four (4) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 11/25/2025 . The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored on the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area.