Facility Evaluation Report

This unannounced Case Management – Health Checks inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of a health and safety check and to follow up on a self-reported incident report received in the Orange County Regional Office (OCRO) on 12/12/23 regarding Client #1 (C1). LPA met with Staff #1 (S1) Mely Villanueva and explained the purpose of the inspection. Administrator (AD) Suparb Soonthornpong arrived during the inspection.

During the inspection, LPA and AD toured the facility. LPA observed there were 2 staff and no clients present. LPA observed the facility to be clean and organized and found no health and safety issues. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations, the electricity and water were running, the facility had soap and paper towels, and the medications, sharps, and toxins were properly stored. LPA interviewed AD and requested and reviewed copies of client roster, staff roster, and C1’s client file.

There were no health and safety concerns observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.