Facility Evaluation Report

LPA Audrey Jeung toured facility and grounds. There are no accessible bodies of water nor fire safety hazards observed. All passageways are accessible. A comfortable temperature is maintained and lighting is adequate for safety. Hot water temperature is tested at 113 degrees in client bath/shower room. Food supply--consisting of formula and solid food--and first-aid kit are inspected, and hygiene items for general use are maintained. Two residents are dependent upon G-tube feeding for nutrition and hydration, and at least 7-day supply of formula is maintained. Client files are reviewed and contain medical assessments. Medications are recorded on Centrally Stored Medications Records. Disaster drills are documented; the most recent was conducted 12/2023. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been verified. Facility employs LVNs and RNs; their licenses are checked and valid. Madonna Valencia and Claire Ascalon are certified ARF administrators (x 10/25 and 6/24) that oversee facility operations for this Adult Residential Facility for Persons with Special Health Care Needs. There is no staff room, as facility employs awake night staff.

The following information is given to LPA today:

No deficiencies of the CA Code of REgulations, Title 22, are observed today. See Advisory Notes issued--2 pages.