Facility Evaluation Report

On 03/25/2025 at approximately 9:45 AM Licensing Program Analyst (LPA) Stevenson arrived and first met with Chuluunchimeg Young licensee/administrator and later her husband Alex Young who is co-licensee and an administrator to conduct an unannounced Annual Required – 1 yr. inspection of this facility. The facility has capacity for 6 clients including 5 non-ambulatory and 1 bedridden resident with a hospice clearance for 2. The facility currently provides care for 2 residents, none of which are receiving hospice services and none of which a diagnosis of dementia.

At approximately 10:15 AM LPA continued with a tour of the facility with Administrator Chuluunchimeg Young and facility was found to be spacious, bright, clean, without odors and at a comfortable temperature with all exits free from obstruction. All required postings and signage at the front of the facility were found to be in order with information easily accessible for staff and residents. Residents have access to a sunroom with views of the bay, and shaded gazebo, lounging area, snacks, coffee station, large TV etc.

Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers found throughout the facility to be recently purchased on 1/04/2025. Smoke and carbon monoxide detectors are interconnected throughout the facility, were tested and found to be functioning. There was a sufficient supply and variety of both perishable and nonperishable and healthy foods as required by Title 22 Regulations. Licensee was advised to ensure that all food, once removed from it original/commercial bag was labeled/dated.

The majority of cleaning supplies and other toxins were safely stored in a locked closet in the hallway, licensee was reminded to ensure that once cleaning supplies were used that they were quickly returned to their locked storage; today both toilet bowel cleaner and oven cleaner were found just outside locked storage closet.

A lockable staff area was noted to be unlocked with potential access to over-the-counter supplements and meds used by staff and a technical violation was issued with a suggestion to use a more readily locked door like a keypad door knob or locking closet to ensure easier compliance.