Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for six ambulatory clients with six clients living at the facility. Administrator (AD) Michael Yamashiro arrived shortly to conduct facility tour. AD provided updated liability insurance that expires on 4/21/2026.

LPA along with AD toured the facility at 9:20 AM. LPA toured the physical plant, checked food service, and facility documentation. The home consists of five client bedrooms, living room, dining room, kitchen, medication room, two bathrooms and a detached garage. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 113 degrees F and 115.8 degrees F in all bathrooms. Client bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPA toured the kitchen. Perishable and non-perishable food supply was checked with lunch and dinner delivered to the home using third party food delivery services. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA observed sharps locked in the medication room during today's visit. LPA reviewed the infection control and emergency disaster plans. Facility conducts quarterly emergency drills with the last drill conducted on 11/10/2025. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for clients. Exit gate is unlocked and operational. LPA observed the emergency water supply.