Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Chengtim Oeng 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 Chengtim Oeng today 04/21/2026 at 9:10 AM 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.

4 client files and 6 staff files were reviewed

Medication is kept in a safe and locked space.

Medication was administered per physician's directions for all 4 clients.

Hot Water Temperature measured 112 F. 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 interview conducted and copy provided.,