Facility Evaluation Report

LPA Audrey Jeung toured facility and grounds of this 2-level home, consisting of 4 client bedrooms on the ground floor and 4 client bedrooms on the upper floor. On the 2nd floor, there are 2 shared bathrooms, kitchen and living room, and on the ground floor, there is a shared bathroom, sitting area, and garage office. There are stairs leading down to fenced backyard. Facility is connected to 257 Broad St., licensed as Merced Two Residential Care Facility--license #385600181. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is adequate. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 13 residents present, and 5 staff. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Tommy Lee and Luong Ly are certified RCFE administrators (x 4/23 and 5/22) that oversee facility operations.

The following updated form is requested to be submitted to CCLD BY 1/10/22:

No deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed. See Technical Advisory Notes for additional information.