Facility Evaluation Report

On 06/15/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Hai Nguyen. LPA explained the purpose of today’s visit. The facility is licensed to operate for (4) ambulatory of which may be (2) non-ambulatory adults ages 18 through 59. Currently, the facility has no clients being cared at this time.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: (4) clients' rooms, (2) bathrooms, a living area, a dining area, a kitchen, an outside seating area, and a garage used for storage.

LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 114.9 degrees F. A comfortable temperature of 74 F. degrees was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately with the basic food items, bread, cereal, meats, dairy, fruits and vegetables. A fire extinguisher was charged. Currently, there is no Medication Administration Record (MAR) to audit as there are no clients.

During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms.