Facility Evaluation Report

At 9:45 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual visit. LPA met with the Administrator Doris Duong, and disclosed the reason for the visit. LPA and Administrator toured the facility inside and out. It is a single story building with 4 bedrooms, 2 bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for 4 ambulatory clients.

Walls, floors, ceilings, windows, screens, and blinds were clean and in good repair. At 12:45 p.m. LPA measured the room temperature to be 70 degrees Fahrenheit. The hallway contained 2 linen closets with adequate supplies of fresh linens.

Kitchen: At 10:05 AM, LPA and Administrator toured the kitchen and LPA observed an adequate supply of perishable and non-perishable food. The vent above the stove was clean. Surfaces were sanitary. The house phone was located in the kitchen as well. A laundry area was located by the kitchen. LPA observed a washer and a dryer in working condition. Detergents and cleaning solutions were locked above the washer.

MEDICATIONS: LPA observed the medication locked and inaccessible to clients in care in locked kitchen cabinet. There was a complete first aid kit available in the staff bedroom.

Bedrooms: . There are four (4) bedrooms designated for clients use. There are two (2) bedrooms designated for staff use. Both staff bedrooms were locked and free of hazards. All bedrooms contained a chair, nightstand, lamp, storage, and bed with adequate bedding. All furnishings were clean and in good condition.

Bathrooms : The facility has two (2) bathrooms. All bathrooms contained liquid soap, a handwashing instruction sign, a trash can with a tight fitting lid, and a non-skid mat in the shower. At 10:26 AM. LPA measured the water temperature in the shared bathroom to be 109.8 degrees Fahrenheit.