Facility Evaluation Report

At 9:00 a.m. Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual. Upon arrival LPA met with Administrator Badung Baget and explained the reason for the visit. This facility is a Regional Center Level 3 home.

The facility is a one (1) story home. At 9:15am LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility has four (4) private bedrooms, Room #1 is approved for non-Ambulatory and has a direct exit to the outside. Rooms #2 and #3 are both private and do not have a direct exit to the outside. Room #4 is a designated staff room.

All resident rooms are well furnished with beds, nightstands, lamps, chests of drawers, chairs, and closet space. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture. In addition, no bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair.

There is one (1) full bathroom in the common area. Inside staff room there is a full bathroom designated for staff only. The resident’s bathroom has a shower with non-skid materials and shower has grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 113*F and 115*F.