Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1. During today’s visit, LPA met with Thien Luu, Administrator and Max Nguyen, Designated Administrator.

The facility is a four bedroom, two bathroom, level 4c single story building with an attached garage and an approved fire clearance for four ambulatory clients . The facility currently has a census of four clients in care. At the time of LPA's entry at 8:09 AM two of four clients were at Adult Day Program (ADP), one was awaiting transport to attend ADP and one client remained asleep in the living room. A contractor was observed in the backyard clearing yard debris.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperatures in two of two client bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 109.5 and 114.2 degrees Fahrenheit and all smoke detectors were operational . T he fire extinguisher is charged and was serviced on October 5, 2023. AD will get fire extinguisher re-serviced this week but it is fully charged. The facility’s last fire and earthquake drill was conducted on September 27, 2024 . LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. The First Aid kit had all the required elements with a First Aid Manual.

LPA reviewed three of three staff training and fingerprint records and conducted a complete review of client records. C lient P&I records were reviewed and were accurate. LPA interviewed alert client regarding the quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on February 14, 2026.