Facility Evaluation Report

On 12/04/2024 at 1:00PM Licensing Program Analyst (LPA) William Vanegas and Licensing Program Manager (LPM) Alisa Ortiz made an unannounced visit for the purposes of an annual visit. Upon arrival LPA and LPM were greeted and granted entry to the facility by Direct Support Staff (DSP) Jaehyun Hyeon we then explained the purpose of the visit. Administrator Suparb Soonthornpong (AD) arrived at facility shortly after LPAs arrival. LPA and LPM started a tour of the facility at 1:15pm and observed the following.

This is a one story home with four client bedrooms, one staff bedroom, and one client restroom, and one staff restroom. All client bedrooms were observed to be in clean and sanitary condition with all required furnishings including a bed with linens that appeared to be in good condition, meaning no tears or strains, a lamp, chair, and chest drawers, with required amount of closet space for personal belongings.

LPA Vanegas observed the client restroom to be free of mildew and debris with a functional toilet and working faucets, However water temperature tested below the required temperature of 105-120 Degrees F. Water tested at 104.0 Degrees F. LPA observed smoke detector log to be up-to-date and all were operational per last fire alarm inspection. LPA observed Kitchen to be in clean and sanitary conditions with tight lid trash can available. LPA observed a dishwasher, microwave, gas stove, and washer and dryer that all tested operational and in good condition.

LPA Vanegas observed backyard of facility to be free of any obstructions along the emergency exit route, side doors are self latching and were not locked. There is an outdoor sitting area, and an umbrella available if requested by clients. LPA Vanegas observed 11/10 staff records to have all the required staff documentation, however one staff member did not have a TB test on file. He went to a near by urgent care to get an updated TB Test.