Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Administrator, Fan "John" Xiangzhong. Clients were attending to day program during visit. The facility is in the process of change of ownership. Annual fees are current. Required postings were observed.

LPA/Administrator initiated a tour of the facility at 2:20 pm and observed the following. Facility was a comfortable temperature and passageways were free from obstructions, but there was some debris and items that needs to be cleared from the backyard, items were not obstructing any exits, but needs to de discarded (technical violation issued). Client rooms are furnished per regulation. The facility doesn't have an evacuation chair (technical violation issued). Extra linens and hygiene products are available. Water temperature in client bathrooms read at 112.6 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. Additional perishable and non-perishable food is stored in the garage. Toxins were inspected and are stored in a locked cabinet in the garage. Fire extinguishers were last inspected December 2024. 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 March 5, 2025. Medication and their records were reviewed.

File review initiated at 2:45pm. Three 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 Fan Xiangzhong #7012046735 expires on 6/6/2026. Cash resources reviewed.

Administrator agrees to submit updates of the following documents by 3/28/25: Personnel Report (LIC500), Designation of Administrative Responsibility (LIC308), Surety Bond and Control of Property (Deed).

No deficiencies cited during today's inspection. Exit interview conducted with Administrator and copy of this report was given.