Facility Evaluation Report

On 3/10/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Najon Tuiolemotu, Program Director and explained the purpose of the visit.

LPA toured the physical plant. This is a 1-story building with 4 rooms, including an office, quiet room, main space, kitchen, lobby, and men's and women's restrooms. No accessible bodies of water or hazards were observed. The facility was maintained at a comfortable temperature. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last serviced on 3/4/2026. The facility does not provide food service for clients. All clients bring their own lunches.

All sharp objects, soap, detergents, and poisons were observed to be locked and in-accessible to persons in care.

This facility does not handle medications or cash resources for persons in care.

During the visit, LPA received a copy of the facility's current LIC 500, Emergency/Disaster Plan and requested copies of the facility's LIC 309: Administrative Organization and Designation of Facility Responsibility be sent to the Department by 3/20/2026.

LPA reviewed 5 client files and 6 staff files. All were observed to be complete.

No deficiencies were cited during today's visit.

An exit interview was conducted and a copy of the report provided to the facility representative.