Facility Evaluation Report

On 11/01/2024 Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Inspection. LPA was allowed entry by Lead Staff Sharon Hughes, who contacted the Administrator, Diane McCart (DM) who was off-site at the time. Administrator arrived shortly. There are currently 4 clients residing at the facility. LPA toured the facility with DM.

LPA found the facility to be a comfortable temperature of 70 degrees F with all exits free from obstruction. Common areas were clean and orderly, and had homey touches. The kitchen was clean and well organized and was stocked with adequate supply of perishables and non-perishables, as required per Title 22. The four (4) residents' rooms were furnished with the required furniture. Cleaning supplies are locked in the supply closet in the hallway. There is two (2) bathroom which was stocked with handsoap and paper towels. Fire clearance is approved for 4 residents. The fire extinguisher was serviced on 02/20/2024 and was fully charged. There was one carbon monoxide detector which was tested and functioning and a hard-wired central fire detection/sprinkler system. Sharps are locked in the Med-Room cabinet inside the Family Room.

LPA reviewed 4 out of 4 resident files and 4 staff files and found them to be complete.

No deficiencies found during today's inspection.

Exit interview conducted with Diane McCart.