Facility Evaluation Report

On 08/26/24 at 9:55 AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Caregiver, Jessica Jeong and disclosed the purpose of the visit. The Administrator-Sandy Jeong was called and arrived about twenty (20) minutes later.

LPA asked for the census, resident, and staff files.

A physical tour was conducted at 11:05AM and observed the following:

The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. The fire extinguisher is located against the wall on your right-hand side. It is fully charged with a date of 05/2025. There is a telephone line on one of the counters in the kitchen. There is several extra pantries with canned food. The sharps are locked and inaccessible to the residents in one (1) of the upper cabinets. The toxins are locked and inaccessible to the residents under the sink area.

There is one (1) washer and dryer located next to the kitchen area locked and secured in a room. There are chemicals in this area also locked and secured.

Outside/Backyard: The outside/backyard has furniture for residents with proper seating. The facility has a signal system. The facility has no pool or garage. The facility does have an ADU-Accessory Dwelling Unit that is not part of the facility sketch and is noted in the fire clearance.