Facility Evaluation Report

Licensing Program Analyst (LPA), Alviso, conducted a Required - 1 Year inspection, on 1/26/2026 at approximately 9:20am, and met with Administrator Eddah Kihara. All residents were at day program and/or their jobs during the inspection.

Facility has a fire clearance approval for four (4) ambulatory clients. Fire extinguishers were observed to be charged and tagged as required. Facility has smoke alarms, and carbon monoxide detectors, as required. Facility has a required infection control plan. Facility has required emergency disaster plan. Per record review. last emergency disaster drill was on 12/15/25, a fire drill, and 9/9/25, an earthquake drill.

LPA reviewed four (4) resident files, medication records/storage of medications, resident cash resources (P&I funds),and client cash/financial maintenance records. All financial/client funds were observed to be in-tact, maintained as required, and not mixed with facility funds and/or petty cash funds.

LPA reviewed five (5) staff files. All staff had required criminal record clearance. All direct care staff have first aid certification, and CPR certification, as required. LPA reviewed staff training. Administrator certificate, for Eddah Kihara, is current, expires 9/20/2026.

LPA toured the facility with the Administrator. Facility was observed to be clean and orderly. Hot water was measured at 114.8 degrees Fahrenheit. All exits were free and clear of obstruction. Bathrooms were clean, and had shower mats for residents use. Facility has sufficient furnishings for resident use. There is a medication cart for storing all resident medications, including any refills; Medication cart was locked and inaccessible to residents, and those that are not trained to handle facility resident medications. Cleaners/disinfectants were locked in a storage cabinet in the garage. The facility was observed to be at a comfortable temperature. Facility had a sufficient supply of food. The backyard had a patio table and chairs for resident use; The patio set had a canopy tent that provides shade for the clients as needed. The backyard's fire exit gate was free and clear of any obstructions, and opened freely as required.