Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived at the Adult Residential Facility (ARF) unannounced to conduct Required- 1 Year visit. Administrator, Joannalyn Agbayani granted LPA entrance into the facility. There was one staff member and no clients at the initial time of inspection. There are 4 residents, who were all attending Day Programs.

At the entrance of the home, there is a table with sanitizer and a Hiro sanitizing mister to remove bacteria from clothing items and air in the common area for clients. This facility is a single-story home with 6 bedrooms: 2 bedrooms for staff and 4 bedrooms for residents.

LPA toured the facility, all exits were unobstructed, and the facility was found to be clean & at a comfortable temperature of 68 F. Water temperature measured 116 F. Bathrooms had soap and paper towels, non-skid mats for showers and baths. Designated staff have current first aid certifications in file. Fire extinguisher was charged and serviced 12/07/2023. Carbon monoxide detector and smoke detectors were operational. Last fire drill was on 11/27/2023 for all shifts. The facility has an ample supply of perishable and non-perishable foods as required by Title 22.