Facility Evaluation Report

On February 26, 2025, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by DSP/LPT staff Kana Maeda. Administrator Jom Ison was notified of the visit via telephone and arrived later to assist. LPA met with the administrator and explained the purpose of the inspection.

During the inspection, LPA accompanied by facility staff conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following:

This is a one-story home with five private bedrooms, two bathrooms, and attached two car garage which is used for storage. All resident bedrooms have the required furnishings. LPA observed all client beds had linens and blankets. The backyard has a shaded sitting area along with a shed that is verified to be used for storage of cleaning supplies and paper products. LPA observed one client returning from a community outing. Two clients are observed participating in activities in the facility's common areas with day program staff. Other clients are resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 109 and 113F degrees at two faucets used for personal grooming.

LPA observed emergency disaster plan with means of exiting and emergency phone numbers in addition to an emergency folder including information for all five clients in the event of an evacuation. Fire and evacuation drills verified also. Smoke detectors and carbon monoxide detectors tested operational. There are two fire extinguishers on the premises. Both were observed to be fully charged with up-to-date maintenance tags. There are go-bags with necessary supplies for evacuation and maintenance of aspiration equipment, oxygen delivery systems and gastrostomies. The facility is equipped with back-up batteries that are routinely verified to prevent power outages.