Facility Evaluation Report

On 09/12/2025, 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. There are currently 4 clients residing at the facility. LPA toured the facility with Administrator. Residents attend Day Programs five days a week.

LPA found the facility to be a comfortable temperature of 69 degrees F with all exits free from obstruction. Common areas were clean and orderly. 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, but decorated to show their individuality. Cleaning supplies are locked in the supply closet in the hallway. There are two (2) bathrooms which were stocked with hand soap and paper towels. Fire clearance is approved for 4 residents. The fire extinguisher was serviced on 06/16/2025 and was fully charged. There was one carbon monoxide detector which was tested and functioning and a hard-wired central fire detection/sprinkler system. Last fire drill was 08/31/2025. Sharps are locked in the Med-Room cabinet inside the Family Room.

LPA reviewed 4 out of 4 resident files and 5 staff files and found them to be complete.

LPA requested: Proof of Liability Insurance, Surety Bond

No deficiencies found during today's inspection. No citations issued.

Exit interview conducted with Diane McCart.