Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted an annual required visit. LPA met with DSP Christina Rojas and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedure and observed food supply. Facility has submitted a mitigation plan and was approved on 04/24/2021.

The facility is located at a residential neighborhood. The facility consists of living room, dining area, kitchen, four clients bedrooms, two bathrooms. The laundry room is located at the side of the back yard. All four clients bedrooms were toured. Bedroom#1 has two beds, two night stands, required furniture and linen and sufficient lighting and closet space. Bedroom#2 and #3 have one single bed, night stand, dresser, required furniture and linen, sufficient lighting and closet space. Bedroom#4 has two beds, two night stands, required furniture and linen, sufficient lighting and closet space. All two bathrooms were toured and they are clean and maintained in good condition. The hot water temperature was tested between 107.6 and 108 degrees F. which is within the Title 22 regulation. For the food supply, the refrigerator and the cabinet in the kitchen has sufficient for two days perishable and seven days non perishable food. All the appliances in the kitchen are working properly. The sharp utensils and knives are locked under the sink. The common area and dining area are clean and have the required furniture. LPA tested the smoke detectors and carbon monoxide detectors and they are all interconnected and operated well. The front yard and back yard are maintained well. The backyard has shaded area and sitting area. The passageway and exits are free of obstruction. The medication are centrally stored and locked in a cabinet next to the dining table. All the cleaning products are locked in a cabinet next to the laundry room.