Facility Evaluation Report

On 08/13/2025 at approximately 02:30PM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Adult Residential Facility (ARF). LPA was greeted by House Manager, Rhoda Venkaiya. LPA spoke with administrator, Zina Lee over the phone and explained the inspection process. Facility has an approved fire clearance and capacity for 4 ambulatory residents. Upon arrival, LPA was informed that there were 3 residents in care which 2 of them were attending a day program and 2 staff members on-site. Facility is a 1 story building with 3 Resident bedrooms, 1 staff bedroom, 3 bathrooms, and common spaces.

At approximately 3:05 PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated with the facility per regulation.

At approximately 03:15AM, LPA toured the building and grounds which were found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. LPA advised to house manager to post the required postings such as Complaint poster (PUB 475), Rights to resident councils, client's rights in the facility. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in locked kitchen cabinets under the sink and cabinets in the laundry room. LPA advised staff to store knife and sharp items box separate from toxins (Technical Violation Given). Water temperature measured 112.3 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire extinguishers were in order and last inspected on 10/03/2024. Carbon Monoxide detectors were present and in order. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure.

LPA was unable to complete inspection and will return at a later date to complete.

No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.

Exit interview conducted. Copy of report provided to Licensee. Signature on form confirms receipt of documents.