Facility Evaluation Report

On 07/08/24 at 11:05 AM Licensing Program Analyst (LPA) Pang Lee arrived at Reach Adult Development Site #1 for the purpose of conducting a required 1 year annual inspection. LPA met with Program Director, Nati Mauga and conducted a tour of the facility. The census is 30 with 8 facility staff.

LPA and Program Director evaluated the physical plant to ensure the health and safety of the client in care. Areas inspected are including but not limited to the kitchen, client activity rooms, client bathrooms, storage room, supply closet, computer room, staff break room with a stove, staff office, client quiet room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA observed locked closets for the storage of cleaning solutions and knives.

LPA measured the water temperature, temperature measured at 114.7 degrees Fahrenheit which meets the 105-120 degree Fahrenheit regulation. Fire extinguishers and smoke detectors are current and in compliance with fire safety. Fire extinguisher was last service on 04/07/2024. The last fire drill was conducted on 07/05/2024. LPA did not observed the facility to have a carbon monoxide detectors. Program Director was also not able to find the carbon monoxide in the facility. First aid kit was checked and is complete. Facility does not currently administer or retain client medications. LPA Lee reviewed 6 out of 6 client files and they were complete. LPA Lee also reviewed 4 facility staff files and they were also complete.

As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.