Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee/Administrator, JJ Zheng. Clients were attending to day program during visit.

LPA/Licensee initiated a tour of the facility at 8:50 am and observed the following. Facility was a comfortable temperature and passageways were free from obstructions. Client rooms are furnished per regulation. Extra linens and hygiene products are available. Water temperature in client bathrooms read at 108.1 which are within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Surplus perishable and non-perishable food is stored in the garage. Toxins were inspected and are stored in a locked cabinet in the garage. Cash resources reviewed. Fire extinguishers were last inspected November 2023. Facility has a fire pull system. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Last disaster drill was conducted on February 2024. Administrator had outstanding fees in the amount of $454, but they provided receipt of payment to LPA. LPA confirmed payment received at CCL. Medication and their records were reviewed.

File review initiated at 9:15am. Four client files and three staff files were reviewed. All staff have current CPR/1st aid on file and required training hours completed. Administrator certificate for administrator JJ Zheng #6030306735 expired on 1/8/2023. The Licensee is also current Administrator, however their Administrator certificate is neither active nor pending. Administrator could not provide proof that they submitted required documentation to the certification unit to obtain a current certificate.

Licensee/Administrator to submit updates of the following documents by 4/19/24: Personnel Report (LIC500), Emergency Disaster Plan (LIC610E), Surety Bond and Control of Property (Deed, property tax, etc).

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Licensee and copy of this report was given.