Facility Evaluation Report

On 9/1/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Lead Staff, Rhoda Venkaiya. Administrator, Zina Lee was contacted but unable to attend visit. The facility currently provides care for 4 clients, 2 of which were present and 2 of which was attending day program at the time of visit. LPA continued with a tour of the facility with staff. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 9/2/2022. LPA provided reminder for facility to re-inspect the extinguisher as final date before expiration is within 24 hours of visit. Smoke and carbon monoxide detectors were found throughout the facility, tested and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations with additional food stored in the garage. Food stored in the kitchen refrigerator were stored properly with appropriate labeling and dates. There was a supply of linens, hygiene products and paper products available for clients located in the hallway.

Upon inspection of client bedrooms LPA observed clients speaking on the phone with family or lounging in their bedroom for leisure. LPA spoke with client who appeared comfortable and spoke positively of the facility with no concerns at the time of visit. LPA conducted a file review for 4 out of 4 clients. Administrator is currently in the process of updating clients' (C1 & C2) Physician's Reports. Both of which have not had any major changes of conditions however, Administrator agrees to submit updated documents to CCLD once completed. The Needs & Service Plans for all clients have been updated as of June 2023 but require signatures from Administrator. Technical Assistance provided. LPA conducted a sample file review for staff and found all staff to have appropriate training and 1st aid & CPR certification on file. In addition, facility conducts emergency evacuation drills with staff and clients every three months.