Facility Evaluation Report

On 11/29/21 at 10AM, Licensing Program Analyst (LPA), Murial Han met with the Administrator, Roy Johnson to conduct an unannounced Pre-Licensing inspection for change of ownership. LPA Han was properly screened by the Administrator at the entry and LPA observed COVID-19 signs posted by the front entry. The new Administrator, Victoria Alejandro also arrived at the facility for the inspection.

LPA observed the indoor and the outdoor passageways are free of obstruction.

The Administrator provided a tour of the facility and all the clients were at the Day Program during the inspection.

This is a one story facility with 4 private bedrooms. Three rooms are occupied. The client's rooms, the living room, the kitchen, the shower room, the bathrooms and the dining room are well maintained and appeared to be cleaned. The overall facility temperature was measured at 72 degrees Fahrenheit (F). the hot water temperature was measured in the half bathroom, shower room and the kitchen were at 115- 118 degrees F.

The laundry room was cleaned and chemicals were locked. The medication storage was locked and inaccessible to the residents. The Carbon Monoxide detectors were present and properly operated. The first aide kit was inspected and equipped. Food supplies were observed to be adequate. The refrigerator temperature was measured at 34 degrees F and the freezer was measured at -1 degree F.

The fire and smoke detectors are observed to be operated properly, the fire extinguishes observed to be adequate, and the Administrator reported that there is no firearms and/or ammunition at the facility.