Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted an unannounced annual required visit. LPA met with administrator Ronald Manalad and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed clients' medications, observed food supply, and reviewed clients' and staff files.

The facility is a single story house and located in a residential neighborhood area. The facility includes: dining area, kitchen, living room, four clients bedrooms, two bathrooms, staff office, staff break room and attached garage. All four clients bedrooms were toured. Bedroom#1 and #3 has one bed, one chair, one drawer, required bed linen and furniture and sufficient lighting and closet space. Bedroom#2 and #4 has two beds, two chairs, two drawers, required bed linen and furniture and sufficient lighting and closet space. The two bathrooms were toured and they are clean, sanitary and in a good working condition. The hot water temperature in two bathrooms and kitchen were tested between 105.9 and 114 degrees F which is within Title 22 regulation. The refrigerator in the kitchen and garage and the storage room has sufficient food supply for two days perishable and seven days non-perishable. All the appliance in the kitchen are clean and working properly. The sharp knives and utensils are stored under the sink and inaccessible for the clients. The common area such as living room and dining area are clean and have the required furniture. The front and back yard are maintained well and back yard has a shaded area and sitting area for clients to utilize. The cleaning supplies are located in the locked cabinet in the garage which is inaccessible for clients. LPA inspected the smoke detectors and carbon monoxide detectors and they are all interconnected and working well.

LPA reviewed 6 clients' files to confirm emergency contact is updated. LPA also reviewed two staff files to confirm health screenings and fingerprint clearances. The two staff are fingerprint cleared and also have updated health screening in their personnel file. LPA also inspected all 6 clients medication and all medication are centrally stored in the locked cabinet near the living room and they are all accurate and updated.