Facility Evaluation Report

On 1/30/24 at 1:45pm Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced annual required visit. LPA met with the facility administrator, Karen Davis-HIro, and explained the purpose of today’s visit. The facility is currently licensed to serve 3 developmentally and intellectually disabled adults. Present during this visit, there were three (3) clients in care with one (1) staff on duty.

At 2pm, LPA inspected the facility’s physical plant including but not limited to the kitchen, dining room, client bedrooms, client bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. There were no bodies of water on the premises. Outside of the facility was observed to be clean and clear of obstructions. Additionally, LPA observed outdoor furniture for clients’ use and covered area for outdoor activities. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed three (3) client bedrooms, two (2) bathrooms for client use. Staff office is detached from the house. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the client’s personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit. All 3 client rooms inspected are privately occupied. Bathrooms were operational and adequately supplied.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to clients in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. Room temperature was maintained in the facility at 70 degrees F. Water temperature in one of the bathrooms located inside bedroom #1 was measured at 110 degrees F. Smoke detectors and carbon monoxide were tested and found to be operable during this visit. Each client bedroom has smoke detector.