Facility Evaluation Report

At approximately 9:40 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by House Manager, Silva Rosario. Licensee/Administrator, Zhang (Mark) Guolian was called and and he informed House Manager that he was on his way to the facility. LPA observed 2 other Direct Support Professionals (DSP) present.

Facility is an Adult Residential Facility with Developmentally Disabled Clients in care. LPA observed 3 of 3 clients were home and was informed 3 clients were home because of behaviors which have made placing them in a day programs challenging.

At approximately 10:00 AM, LPA initiated a tour of the facility with House Manager and licensee/Administrator Zhang (Mark) Guolian arrived at approximately 10:30 AM.

During facility inspection, LPA observed the following: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in clients' bathrooms measured between 105.8 and 111.1 degrees F, which is within allowable range of 105 to 120 degrees F per regulation. LPA observed a supply of clean linens, PPE and extra incontinence supplies available to clients.

LPA inspected 3 of 3 clients' bedrooms and observed one room continues to miss blinds, closet doors and a chair. House Manager stated the client took the closet doors off and does not want blinds or a chair. All rooms otherwise have the appropriate furnishings as outlined in Title 22 regulations.

Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable and one week of non-perishable foods and a supply of bottled water, as well as emergency supplies and flashlights.

LPA observed a weekly menu and activity schedule posted in the common living area. Laundry room and garage doors were locked and LPA was informed that they remain locked. Medications were centrally stored and locked. There is outdoor space for clients and the grounds are safe, clean and orderly. LPA observed a locked shed in the backyard that was opened to reveal gardening supplies and various hardware.