Facility Evaluation Report

Licensing Program Analysts (LPA) Seo Jeon and Ferrer Sarabias conducted an unannounced annual required visit. Upon entry, LPA was greeted by Michelle Hashimoto, caregiver, and informed them of the purpose of the visit. At the time of the visit, there were (3) staff members and (4) residents present.

Facility Overview: The facility is a one-story home with (3) bedrooms and (3) bathrooms, including an attached garage. There are no known firearms on the premises. There is a swimming pool which is in compliance with locked gate and fences.

Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements.

Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Fire extinguisher next to the kitchen had current inspection tag. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 111°F.