Facility Evaluation Report

On 12/02/2023, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with staff Calvin Fortune and later joined with Administrator Suyono wong and explained the purpose of today’s visit. The facility is licensed to operate for five (5) ambulatory clients between the ages of 18 through 59. Currently, the facility home has four (4) clients.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, two (2) bathrooms, two (2) living areas, dining area, laundry in garage, kitchen, and outside shaded patio area.

LPA Richard and staff Fortune toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The hot water temperature measured between 109.7F to 108.3F in both bathrooms . A comfortable temperature of 74 degrees was maintained in the facility.

LPA Richard observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available. There is one (1) fire extinguisher fully charged in the kitchen. Smoke detectors and carbon monoxide were operable. A reviewed of Medication Records Administration (MAR) and observed to be maintained in order and accurate.