Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Clarijet Orteza and explained the reason for the visit. The purpose of the visit is to complete the required inspection. Shortly thereafter Administrator Jennifer Kim arrived.

LPA Trueman toured the facility along with Staff Clarijet Orteza today 05/02/2024 at 2:00 PM and the following was observed:

Facility contains 4 Client Bedrooms and 2 Client Bathrooms, dining room, living room, TV room, and outdoor backyard shaded area.

Annual Inspection includes the following Domains:

Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records- Training, Client Rights Information, Client rights- Incident Reports, Food Service, Health Related Services, Incidental Medical Services, and Disaster Preparedness.

Interviews were conducted with 2 clients and 2 staff. 4 client files and 3 staff files were reviewed

Medication is kept in a safe and locked space.

Medication was administered per physician's directions.

Hot Water Temperature measured 107F. meeting Title 22 Regulations.

Staff responsible for providing care and supervision received training in First Aid.

Licensee maintained an individual admission agreement for each client.

Facility had sufficient supply of 2 day perishable and 7 day non-perishables meeting regulations.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Facility was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors.

Exit interviewed conducted with Administrator Jennifer Kim.