Facility Evaluation Report

At approximately 12:30 PM, Licensing Program Analyst (LPA) Stevenson arrived unannounced to conduct a Required 1 Year inspectin and met with Staff Member, Wenyu Deng who placed a call to licensee/administrator Guolian Zhang.

Facility is an Adult Residential Home that provides care and assistance for Adults with Mental Health Diagnoses. Facility has an approved fire clearance and capacity for 1 ambulatory and 3 non-ambulatory clients per fire inspection on 06/17/2010. Licensee currently prefers to care for 3 clients at a time, all who were home during my inspection.

At approximately 12:35 PM, LPA reviewed the Facility's Staff Roster and found all three (3) staff members on site were background cleared and associated to the facility per regulation.

At approximately 12:45 PM licensee/administrator Guolian Zhang and LPA conducted a walk-though of the facility and observed the following: Facility is a 1 story building with 1 double client bedroom and two single client bedrooms, 2 staff rooms, office space and common spaces. Facility was found to be at a comfortable temperature, without odors with all exits free from obstruction. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations

Frozen meats and other foods were observed to be removed from their original commercial packaging and not labeled with expiration dates (B-deficiency cited).

Toxins were observed to be stored inaccessible to clients. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for clients. Bathrooms were equipped with necessary furniture. Grab bars, and non-slip floors/mats were present. Mattress pads were in place or available for client use. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105f to 120F degrees