Facility Evaluation Report

On 05/22/2026, at approximately 9:35 AM Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conduct a 1-Year Annual Inspection. LPA was greeted by staff member Eileen, who allowed LPA entry and contacted Administrator, Sabrina Clark, who was off site. There are two clients, who were both attending Day Program and one staff member on site at the time of visit. Administrator arrived shortly.

The LPA found the facility to be clean and well-kept. The refrigerator was clean, with adequate perishable and non-perishable food as required, per Title 22. The fire clearance has been approved for 4 adults.

There were no accessible bodies of water or firearms. There is a non-operating, unfilled hot tub on site, with a secure cover. There were (2) two carbon monoxide detectors which were tested and operational and (5) five smoke detectors that were tested and operational An emergency disaster plan has been updated and last fire drill for the AM shift was 05/03/2026.

LPA observed locked cabinets for sharps and medications. Bathrooms had slip mats and grab-bars for resident safety. Hand washing supplies and paper products were available in sinks used by residents. Water temperature was between 105-120 degrees F, which is within regulation. A tour of residents' bedrooms was conducted and bedrooms inspected have lighting &appropriate furnishings and linens. LPA observed the following postings: personal rights, emergency disaster plan, activity poster and menu and the Complaint poster.

The (2) two client files and (3) staff files were reviewed and found to be complete.

LPA and Administrator discussed reviewing the Physician's Reports and the Centrally Stored Medication Lists to ensure for accuracy.

There were no deficiencies found at the time of inspection. No citations issued.