Facility Evaluation Report

At approximately 9:00AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Staff Member, Johnnie "JJ" Reid. Administrator, Sherry Zhu, arrived at approximately 9:55AM. Facility is an Adult Residential Home that provides care and assistance for Adults with Disabilities. Facility has an approved fire clearance for 6 Ambulatory Clients with a total capacity of 6 clients. Upon arrival, LPA was informed that there were 6 clients in care, with 5 clients out of the community attending Day Program. LPA was also informed that there were 2 staff members on site.

At approximately 9:15AM, LPA reviewed the Facility's Staff Roster and found that all staff on site were background cleared and associated to the facility per regulation. At approximately 9:20AM, LPA conducted a walk-though of the facility with Staff Member. LPA observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility is a one story building with 3 Client bedrooms, 1 staff room, 2 bathrooms, and common spaces. Facility does not have an Infection Control plan on file. Review of documents at the facility showed that the facility had their mitigation plan for Covid-19 but had not yet submitted their Infection Control Plan as required (see deficiency, LIC809D, regulation 85075.5(c)). There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for clients. Mattress pads were in place or available for client use. Hot water temperatures for 2 of 3 facility sinks were found to be out of compliance with Title 22 Regulations of 105 to 120 degrees Fahrenheit, measuring between at 123.6F and 124.8F Per conversation with Staff Member and Administrator, they have been in contact with a vendor to fix their boiler. LPA reviewed email correspondence between facility and vendor and reviewed facility's water temperature logs which showed that facility's temperatures were within Title 22 Regulations as of 07/03/2024 (see Technical Violation, LIC9102, regulation 80088(e)(1)). During walkthrough, LPA observed the following toxins and hazards to be accessible: unlocked knife drawer and unlocked toxins cabinet in the kitchen (deficiency cited, see LIC809D, regulation 80087(g)). Fire extinguishers were last inspected May 2024. Smoke detectors and carbon monoxide detectors were tested and operational. Facility's last emergency drill was conducted in May 2024.