Facility Evaluation Report

Licensing Program Analysts Jill Nakagawa and Stefanie Mutialu arrived unannounced on 03/07/2024 at approximately 9:25 AM to perform an annual inspection. The facility currently has 4 residents. There were 7 staff members on site.

LPAs arrived at the facility and signed into Visitor's Log. During tour facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Clients' bedrooms, common areas, kitchen & food storage areas were inspected. 2 Fire Extinguishers were fully charged and last inspected on 07/21/2023. Smoke Detectors & Carbon Monoxide Detector were found to be operational during the visit. The last Fire Department Inspection was on 12/6/2023. Facility conducts monthly emergency drills; an Earthquake Drill was conducted on 3/4/2024 for the PM shift. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator was properly stored as per regulations on this day at the time of the visit. Toxins, sharps and other dangerous items are stored in locked hall supply closet; inaccessible to clients. There is also a locked and secured medication closet with each resident's medications and medical records stored. There was a supply of cleaners, hygiene products and paper products available for clients. All clients' bedrooms have lighting and appropriate furnishings and decorated to reflect each resident's tastes and interests.

There is a signal system on each resident's bedroom door to alert staff for assistance.