Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with House Manager, Alvin Nene, who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (6) residents present.

The facility is a one story home (4) resident bedrooms and (2) resident bathrooms. No pools or firearms are housed at the facility. The facility is approved for (6) non-ambulatory clients. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area had a shaded area and seating, and was free of hazards. LPA observed hygiene supplies for residents, PPE, clean linens. There are designated locked areas for sharps, dangerous objects, cleaning supplies, and medications. The smoke detector and carbon monoxide are operational, and the hot water temperature 109.5F. There are emergency supplies such as emergency lighting and complete first aid kit. A Technical Note was documented for facility to obtain emergency power and kit for emergency items listed on the Emergency Disaster Plan. The emergency exits paths are clear and free of obstructions. LPA observed facility exceeded the required 2-day supply of perishable and 7-day supply of non-perishable foods.