Facility Evaluation Report

On 04/18/2022, Licensing Program Analyst (LPA) Don Senaha conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with caregiver S1 and was later joined by Licensee Thana Theng and explained the purpose of today’s visit. The facility is licensed to operate for four (4) developmentally disabled clients of between the ages of 18 through 59.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: three (3) client rooms, one (1) staff room, two (2) bathrooms, a living area, a dining area and kitchen. There is an outside shaded patio area with ample seating. The laundry area is in the garage. There is a detached garage with access from the front of the garage only. Garage includes an additional refrigerator/freezer and is used for storage.

LPA and Licensee toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 105.1 F and 112.0 F in the bathrooms and kitchen sink. A comfortable temperature was maintained in the facility.