Facility Evaluation Report

On 07/31/25, Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced Annual Required Visit using the CARE Inspection Tool. LPA met with the Leilani Le and the purpose of today’s visit was explained. The facility is licensed as a short term crisis residential treatment program for (6) ambulatory adults ages 18 through 59. Currently, the home has (4) clients.

The facility is a one family two story home located in a residential neighborhood. The property consists of the following: 6 client bedrooms, 6 bathrooms, 2 staff office, living room, kitchen, dining room, attached garage, washer and dryer and an outdoor shaded area.

LPA conducted a records review of (4) client records, (5) staff records, LPA reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) Client Medication Administration Records and did not observe any discrepancies at the time of visit. There is a dietician and a chef for the facility.

At 10:00am LPA and Administrator Le toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed, plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature properly measured at 110 F.