Facility Evaluation Report

At approximately 9:10AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1 Year Required visit and met with Staff Members, Nathan Reid and Xiaoke Hu . Administrator, Sherry Zhu, arrived during visit at approximately 10:00AM. Facility is an Adult Residential Home that provides care and assistance for Adults with Disabilities. Facility has an approved fire clearance and capacity for 6 Ambulatory Clients. Upon arrival, LPA was informed that there were 5 clients in care, with all clients out of the community attending Day Program. LPA was also informed that there were 2 staff members on site.

At approximately 9:20AM, LPA reviewed the Facility's Staff Roster and found that all staff on site were background cleared and associated to the facility per regulation. LPA conducted a walk-though of the facility with Staff Members and observed the following: 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 has an Infection Control plan on file. 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. Toxins were observed to be stored inaccessible to clients. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility no longer has an outdoor pool and had it filled in to create more outdoor space. Administrator to submit updated facility sketch to reflect change.

Fire extinguishers were last inspected April 2026. Smoke detectors and carbon monoxide detectors were tested and operational. Facility's last emergency/disaster drill was conducted July 2026. Facility's emergency disaster plan was last reviewed and updated April 2026. Facility was observed to have an adequate supply of emergency water accessible in the event they needed to shelter in place for 72 hours.