Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by Caregiver Nikki Reyes. Administrator Arnold Andal and Relief Staff Emily Fernando joined the inspection approximately 60 minutes after LPA's arrival.

The facility is a one-story home with four client bedrooms, two client bathrooms, kitchen, dining room, living room, backyard, laundry room and attached 2-car garage. All resident rooms had required elements, including bed, chair, closet space and ample lighting. Facility has extra linens and supplies for residents in the hallway closet. Restrooms are stocked with soap and paper towels. LPA measured water in client bathrooms to be between 105 and 120 degrees Fahrenheit. LPA noted Fire Extinguishers were last serviced on 07/19/2024 according to the service tag on them. LPA observed the smoke/carbon monoxide detectors to be operational. Facility keeps emergency water and emergency disaster supplies in the living room.

LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a closet in the hallway. The backyard has a shaded sitting/lounging area. Exit gate is unlocked. LPA observed exit gates to be unobstructed. LPA observed a sample menu and activity calendar in the facility. LPA reviewed three of the five client files and three staff files. LPA also reviewed medication for two out of five clients and the P&I for three out of five clients. LPA interviewed one client and one staff.

Based on today's inspection, no deficiencies are being issued. An exit interview was conducted and a copy of

this report was provided to the facility.