Facility Evaluation Report

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:45AM to conduct an Annual Required inspection and was greeted by staff. LPA and staff discussed the purpose of the visit. Administrator, Annie Liu arrived shortly after.

LPA initiated a tour of the facility around 10:00 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 108 and 109 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Emergency food is stored in hall closet and emergency water is stored in the office along with Personal Protective Equipment. LPA observed a new shed in the backyard. Per conversation with Administrator, the shed will be used for storage. LPA is requesting a facility sketch that reflects the new shed in the backyard.

Fire extinguishers were last serviced May 2023. Facility has combination smoke/ carbon monoxide detectors located throughout the facility that were tested and operational during inspection. Most recent fire/disaster drill was conducted 12/19/2023. Medications and medication records were reviewed. Client cash resources were reviewed. Five staff files and three resident files were reviewed. Staff have required First Aid and CPR certificates. Administrative Certificate for Administrator, Annie Liu (7007002735) is up to date and expires 12/10/2024.