Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Administrator, Shu Jen Collado and stated the purpose of today's visit. LPA Rai observed 2 staff who have obtained a Criminal Record Clearance. LPA Rai observed 1 residents at the facility, as 5 residents were attending day program. The facility is vendorized by San Andreas Regional Center and is a level 4I/6 facility.

During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents.

LPA Rai toured the facility to include 3 resident rooms, 1 staff room, living room, dining room, kitchen and garage. 3 Out of 3 resident bedrooms had available bedding, drawers, and functioning lights. The facility bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom and kitchen sink ranged from 113.4 - 114.3 degrees F.

Fire extinguisher was observed and inspected on 04/29/2025. Facility smoke detectors and carbon monoxide detectors were in working condition. The last disaster drill was conducted on 9/15/2024. Administrator stated they have not conducted a disaster drill this year in 2025 and they are planning to conduct an all staff meeting and conduct a disaster drill for all staff to participate.