Facility Evaluation Report

At approximately 9:45 AM, Licensing Program Analyst (LPA) Stevenson arrived unannounced to conduct a Required 1 Year inspection and met with Staff Member, Rongmin Xu who has Designation of Facility Responsibility (RP) RP placed a call to licensee/administrator Guolian "Mark" Zhang to advise of today's required inspection.

Licensee arrived at approximately 10:30 AM with additional employee and client documents and Licensee was issued a Technical Violation of CCR80066(e) which requires complete staff and client records to be kept at the facility at all times . Licensee advised to set up a locking storage area with access for his staff if he felt information like health records and social security numbers were to sensitive to keep on site.

Facility is an Adult Residential Facility. 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. LPA notes that all three (3) clients are physically able to walk about the facility.

At approximately 10:30 AM, LPA conducted a tour with licensee 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. Water accessible to clients in care were between 105F and 120F as required by title 22 regulations.