Facility Evaluation Report

At 8:00am on 04/16/2024, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the facilities first post-licensing annual facility inspection. LPA met with Backup Administrator, Junsik Kim, announced who he is and the reason for the visit.

Backup Administrator and LPA conducted a full tour of the facility. This facility is a 2-story, 7-bedroom, 3-bathroom home. The first floor has 4 single occupancy client bedrooms, a full bathroom for clients to share, a common area that includes a kitchenette (refrigerator, microwave and sink). The second floor contains 3 live-in staff bedrooms, a common area with full kitchen, dining table, and couch. LPA noted that the backyard has seating and shade for clients. LPA noted facility has battery operated smoke detectors in each room that are all working and a carbon monoxide detector in the common area on each floor functioning normally. LPA observed a fire extinguisher on each floor each tagged current and in the green compression range, serviced on 04/02/2025. LPA noted fresh fruit and snacks in the kitchen for clients to enjoy freely. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a cabinet on the first floor next to the main entry. LPA conducted a medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident file review. During the facility tour LPA noted that a client currently resides in designated staff room 1 on the second floor next to the kitchen, violating the fire clearance and facility license.