Facility Evaluation Report

At 11:15 AM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual visit. LPA met with the staff Marilyn Balancio and the Administrator Doris Duong was contacted via telephone. LPA explained the reason for the visit and the Administrator arrived shortly after. LPA and Administrator toured the facility inside and out and the following was observed:

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.

Kitchen: At 11:45 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.