Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa, arrived unannounced to conduct an Annual Inspection and met with Ma. Nimpa Balderdara, House Manager. There were no residents at the time of inspection as they were all at Day Program or at work.

The facility was a comfortable temperature, free from obstructions and was well lit. Extra hygiene products and linens were available and grab bars were observed. Water temperature in residents' bathrooms was within acceptable range of 105 to 120 degrees F. Toxins are located in locked cabinets in the garage and under kitchen sink. Knives are locked in the kitchen. Medications were centrally stored and locked. Residents' cash resources were verified and in order. Perishable and non-perishable foods were sufficient.

Fire extinguishers located in the kitchen and laundry room were last inspected January 26, 2023 and fully charged. Smoke detectors located throughout the facility were tested and functional. Carbon monoxide detectors were observed and functional. Staff and resident records were reviewed and in order. Staff have required First Aid/CPR certificates.

Licensee/Administrator to submit updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Liability Insurance and Surety Bond.

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