Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff S1, Jae Suh. During the visit, LPA observed 0 residents and 1 staff. The facility does not have any clients admitted to the day program pending SARC vendorization.

LPA toured the facility inside out with S1 which included the two restrooms, reception area, open area and kitchen. The front yard and backyard were inspected. There was no obstruction to block the walkways.

S1 stated the facility does not provide meals to residents. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 106 degrees F in both resident bathrooms.

Fire extinguisher was serviced in March 20, 2024. The facility has a combination carbon monoxide and smoke detector connected to a central fire alarm system. This system is monitored by an independent fire alarm service vendor.

LPA reviewed facility records for staff. LPA conducted interviews with 1 staff. LPA spoke with ADM. ADM stated they are in the process of submitting a change of capacity. ADM stated he will send the documentation for the change of capacity by the end of the month. ADM stated S1 could sign on his behalf.