Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required – 1 yr. inspection for this facility and met with Administrator, Neil Lomboy (NL).The facility currently provides care for 6 residents. There were 2 care staff on site at the time of inspection.

LPA arrived at the facility and was allowed access. Administrator arrived shortly and toured the facility with LPA. Facility was at a comfortable temperature. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 04/03/2023. Smoke and carbon monoxide detectors were tested and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Care staff have current CPR and 1st Aid training on file. LPA observed live-in staff bedroom to be locked and secured.

Toxins are stored in a locked cabinet in the facility garage and under bathroom and kitchen sinks and found to be secured. There was a supply of hygiene products and paper products available for resident use. All residents bedrooms have lighting & appropriate furnishings. Water temperature was measured at faucets accessible to residents and was measured at 117.4 degrees F which is within regulation between 105 and 120 degrees F.