Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection visit, and met with administrator (ADM) Marlene Elliott. Facility licensee, administrator certificate and personal rights posters were observed posted in the facility. 2 clients went to day program.

LPA reviewed 2 client files and 2 staff files.

LPA toured the facility inside and out with ADM. LPA inspected living room, family room, kitchen, dinning area, and laundry room. 3 bedrooms, 1 master room and 2 bathrooms in the first floor. 2 bedrooms and 1 bathroom in the second floor. Knives closet, and cleaning product closet were observed locked. There are 2 bedrooms for residents in the second floor. There are 3 bedrooms, 1 master bedroom, and two restrooms for ADM family. Room temperature was observed at 68 degree F, and hot water temperature was observed at 106 degree F. 2 days perishable food supplies and 7 days non perishable food supplies were observed sufficient.

The facility is equipped with smoke and carbon monoxide detectors. ADM tested the smoke and carbon monoxide detectors, and they were working fine. The fire extinguishers were observed on service on 05/30/2023. LPA inspected the backyard, there was no obstruction to block the walkway. ADM stated the facility has power generator and solar panel system. There was a swimming pool at backyard. There are fences with gates locked around the swimming pool. LPA observed the non skid mats in the bathrooms. First aid box was observed in the facility. The date of the last fire and emergency drill for the facility is 2/7/2024.

Deficiency noted during inspection. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature.