Facility Evaluation Report
At 8:45am on 11/20/2023, Licensing Program Analyst (LPA) Jeffries arrived at the facility unannounced to conduct the annual facility inspection. The Licensee Young Won arrived and LPA announced who he was and the reason for the visit being the annual facility inspection.
Licensee and LPA conducted a physical tour of the facility, LPA noted that the facility is a 5 bedroom two bathroom facility, 4 bedrooms are client rooms and one bathroom for clients. The 5th bedroom is for live-in staff with on suite bathroom. LPA noted that the facility is clean and in good repair. All exits are free and clear of obstructions, The carbon monoxide detector and smoke alarms are working. The first aide kit is located in the closet in the living room hallway and the medication closet is locked and located in the kitchen pantry. LPA noted that the clients rooms have all furnishings and linins supplies required by regulations. LPA observed at least 2 days of perishable foods and at least 7 of non-perishable foods on hand at the facility. LPA conducted a review of Centrally Stored Medication log and found no issues. LPA noted that all postings and Emergency Disaster plan was posted and/or in binders at the front entrance to the facility. LPA noted that the back yard has seating and shade for clients. LPA noted that the front entrance has two long bushes that have grown over the walkway, LPA addressed the bushes in the care tool module for physical plant and a technical violation was issued. Licensee agreed to trim and pull back the bushes for the safety of the clients, staff and visitors to the facility.
Licensee and LPA conducted all modules of the annual control tools. LPA noted that only one technical violation was noted as outlined in the above narrative (over grown bushes). LPA noted that no other violations or citations were issued as a result of the full annual inspection and full care tools modules. At this time there are no citations issued on this annual facility inspection.
Exit interview, report read and report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction