Facility Evaluation Report

LPA Jeung toured facility and grounds, including, detached garage--where washer and dryer are located-- of this Adult Residential Facility for Persons with Special Healthcare Needs. Full bed rails are installed for all clients' beds, and a facility-wide waiver has been approved. A waiver is maintained for 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 are stored in residents' bedrooms, and 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 at 118 degrees F. Food and PPE supplies and first-aid kit are inspected. Clients' medications are recorded on Centrally Stored Medications Records, provided by pharmacy. 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. Rizzi Bui is a certified ARF administrator (x 11/27) that oversees facility operations.

The following information is requested to be submitted to CCLD by 5/7/26.

- control of property (current lease agreement)

Updated Personnel Report LIC500) and Designation of Facility Responsibility (LIC308) are provided to LPA.

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