Facility Evaluation Report

On 11/26/2024, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to complete the require annual inspection utilizing the care tool. LPA met with Assistant Administrator and explained the purpose of the visit.

During todays visit, LPA and Assistant Administrator conducted a tour on the interior of the facility to ensure the healthy and safety of clients in care. In areas toured, no immediate health, safety and/or personal rights violation was observed.

LPA observed the presence of two direct support professionals, and one licensed vocational nurse to be working at the facility. LPA observed four clients in their private rooms. LPA observed fire extinguishers to be in good condition, recently serviced on May 20, 2024.

Administrator Certificate #6070896735 observed to be active with expiration date of 6/7/2024 to 6/6/2026. LPA informed Assistant Administrator if Licensee wish to appoint another Administrator on file, to submit LIC 308 along with a copy of the Administrator Certificate and resume.

File review conducted for clients records, and observed the required documents to be on file and completed. Inspection tool was completed and found facility to be in substantial compliance.

As a result of today's inspection, no deficiencies observed.

Exit interview conducted and a copy of the report was provided.