Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an announced visit to the facility to conduct a Required - 1 Year inspection. LPA was greeted and granted entry by Staff Felipe and Helen Nelmida and reason for visit was shared. Administrator Augustine Au and Assistant Administrator (AD) Maxine Kniazeff arrived shortly after. AD Kniazeff has a current Administrator's Certificate that expires on 07/28/2024. Two staff and one client were present during today's visit. Four clients are at Program.

The facility is a one story home with 6 Bedrooms, 3 Bathrooms, Kitchen, Dining Room, Living Room, Office and 2 car garage that is used for storage.

LPA Martinez, along with Staff Helen toured the inside and outside of facility. LPA observed all required postings at the entrance of the facility. There is no Live-in staff. The kitchen was clean and well organized. All knives and sharp objects are inaccessible to clients. The facility has a two day supply of perishable food items, a seven day supply of non perishable food items, and a variety of fruit available. All hazardous chemicals were locked in the garage. Fire Extinguisher was mounted and charged, last serviced on 08/25/2022. The garage was clean, organized and walkways were free of tripping hazards. LPA observed a variety of food items and an emergency supply of water and food. LPA observed emergency bags and emergency kits prepared and ready to go for each client in care. Client bedrooms were clean, well organized, and equipped with all the necessary requirements: night stand, chair, lamp and storage space. Bathrooms were clean and sanitary. Hot water temperature in client bathrooms was within regulatory requirements. The backyard area was clean, organized free of clutter and walkways were free of tripping hazards. There is a shed in the backyard that is used for storage. Side exit gates are self closing and self latching. Ample supply of linen and hygiene supplies were observed to meet the needs of all clients in care. Emergency Phone Numbers and Exit Plan was in place. Fire drills are conducted monthly and LPA verified last Fire Drill was conducted on 06/05/2023. Medications are centrally stored in a locked cabinet in the office. Medications reviewed appear to have been dispensed accurately.