Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with Administrator (ADM) Gleen Mesa.

LPA observed 2 staff. All residents went to day program.

LPA reviewed 2 resident files and 2 staff files.

LPA observed licensee, Administrator Certificate, and personal rights posters at the main entrance.

LPA toured the facility with ADM inside and out. LPA inspected living room, family room, dinning area, kitchen. There are 2 restrooms, 1 staff live-in room, and 3 resident rooms in the facility. Two days perishable foods and seven day nonperishable foods were observed sufficient. Room temperature was observed at 72 degree F, hot water temperature was observed at 118 degree F. Medication cabinet, knives closet were observed locked. Cleaning products for washing dish was observed not locked, ADM locked it immediately. The facility was equipped with fire alarm, smoke and carbon monoxide detectors. Carbon monoxide detector was tested, and was working fine. Fire extinguisher was serviced on 4/25/2024.

LPA observed the garage was under construction. The garage is converting to two staff rooms and one restroom. The facility did not notify CCL office that the facility conducts alteration/conversion and construction. LPA called licensee, licensee stated the facility has city permit for the construction and the facility will notify CCL office after the construction completes. LPA told licensee that the facility should notify CCL office prior to conduct the conduction. ADM provided the city permit to LPA.