Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a Required 1-year annual inspection and was greeted by Staff, Harlyne Sally. The Licensee, Marie Fernandez arrived later. At the time of inspection there were 3 staff providing care and supervision for 1 client.

The facility is posting the screening questions for Covid-19 at the front door and screening and logging visitors at the time of entry.

The facility was a comfortable temperature of 70 F and was clean and well-organized. The clients' bedrooms had the required furnishings, plus many items to make each resident's space personal and appealing to them. Staff cleaning schedules are posted in the hallway. The facility common areas are cleaned and wiped down often. Bathrooms were stocked with hand washing supplies. The water temperature measured 117 F, within the required 105-120 F. The facility had 1 fire extinguisher which was last serviced on 6/2/22 and was fully charged. Fire Extinguisher Company was scheduled to come and service again on 6/23/23. The fire alarm/smoke detector system was tested and functional. The 4 carbon monoxide detectors were tested and functioning.

LPA reviewed 3 staff and 3 client records. LPA discussed documentation of staff trainings.

No deficiencies cited during today's visit.