Facility Evaluation Report

LPA Jeung toured facility and grounds, including attached garage--where washer and dryer are located-- of this Adult Residential Facility for Persons with Special Healthcare Needs. Facility maintains facility-wide waivers for full bed rails for all clients' beds and alternative assistance with administering PRN medications. Electronic hoyer lifts are installed in all bedrooms and bathroom for lifting residents. There are no accessible bodies of water or fire safety hazards observed. Medications, toxins and sharps are stored appropriately and inaccessible to clients. A comfortable temperature is maintained. Bathing facilities for clients are equipped with grab bars and nonskid flooring material. Hot water temperature is tested in clients' bathroom. Food and PPE supplies and first-aid kit are inspected. Clients' medications are recorded on Centrally Stored Medications Records. A Disaster and Mass Casualty Plan is posted. There is no staff room, as facility employs awake night staff.

Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Roger Fujii is a certified ARF administrator (x 1/25) that oversees facility operations.

The following forms are requested to be updated and returned to CCL by 9/5/23:

• LIC 308 Designation of Facility Responsibility

• LIC 610 Emergency Disaster Plan (revised 9 pages)

No deficiencies of the California Code of Regulations, Title 22, Division 6, Chapter 8 are observed.

See Advisory Notes for technical violation.