Facility Evaluation Report

On January 10, 2024 Licensing Program Analyst (LPA) Murial Han conduct an annual inspection. LPA met with assistant administrator and explained the purpose of today's visit.

Assistant administrator provided a tour of the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is single story facility with 5 resident bedrooms and one of them being shared room that is currently occupied by one resident. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid mats. Facility temperature is comfortable.

During the tour, LPA observed an Accessory Dwelling Unit (ADU) in the garage with a bed, table, TV and other furniture. This ADU is not part of the facility sketch on record. According to the assistant administrator it was build in 2019 without a proper permit.

Chemicals, toxins, sharps and medications are observed to be unlocked and accessible to residents in care.

Centrally stored medication was reviewed and observed 4 out of 4 residents did not have a centrally stored medication record.

2 days of perishables and 7 days of nonperishable foods were observed for the residents.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire drill records reviewed.

Hot water temperature through-out the facility is measured at 108- 115 degrees F.