Facility Evaluation Report

Harmony Home, San Bruno08/26/2024Licence 415600977

Capacity4
Census4
Date signed08/26/2024 12:27:39 PM
The inspector’s account

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. There are 4 private client rooms, each with exits to outside. 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 at 107 degrees in clients' bathroom. Food and PPE supplies and first-aid kit are inspected. Client records are reviewed, and 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.

Proof of current surety bonding is requested to be sent to CCLD by 8/30/24.

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

Facility is operating in substantial compliance.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction