Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to complete the Annual Inspection which was started on 08/16/2024. LPA was allowed entrance by care staff. There were 2 staff and 3 residents at the facility at the time of inspection. 1 resident was attending Day Program.

LPA inspected the facility and found it to be clean and orderly. LPA checked on bathroom renovations and found them to be complete and satisfactory. Bathroom is located in bedroom #3.

LPA reviewed 3 of 5 resident files and found several forms were not included. . Administrator will contact Regional Center for missing forms. 5 of 5 staff files were complete.