Facility Evaluation Report

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required 1-year facility inspection and was greeted by administrator Leilani Jocson. Facility is an Adult Residential Home approved for 4 clients. Hospice waiver for 1. There are currently 4 clients in care, all attending day program during facility visit.

LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed inside and outside perimeters of facility. All required postings were visible. All bedrooms were observed to have clean linens, night stand, chair and light. Facility kitchen, refrigerators and freezers were clean. Snacks accessible to clients. Expiration dates noted in food and toxins are locked and inaccessible to clients. LPA observed at least 7-day supply of non-perishable food and a 2-day supply of perishable foods. Sharps and knives were locked and inaccessible to clients . Canned goods were observed. Emergency food and water observed. Bathroom accessible to clients had bath bats and paper towels. Water temperature measured within regulation at faucets accessible to clients. Fire extinguishers were charged and inspected on 10/31/2025. Fire alarms are hard wired and inspected by fire department with last inspection conducted September 2025. Carbon monoxide alarms were tested and operational. Disaster Drills are conducted monthly and fire drill conducted quarterly.

LPA reviewed 4 of 4 client records. All documentation found present and up to date.

LPA reviewed 3 Staff records. All required documentation was up to date.