Facility Evaluation Report

Licensing Program Analysts (LPAs) Alviso and Coppo arrived to conduct a Required- 1 Year inspection, at approximately 8:30am on 9/12/23, and met with Administrator Janet Hermogenes. LPAs observed three(3) other staff working while touring the facility.

J.Hermogenes is the Administrator of another home owned by the Licensee. Anthony Guevarra, Licensee, arrived to meet with the LPAs shortly after LPAs arrival.

Currently there are twenty(20) clients in care at this time. LPAs' reviewed six resident files. All files were complete. LPAs' reviewed medication records, and medication packs.

LPAs' reviewed five staff files. All staff have required criminal record clearance. All staff have first aid and CPR.

LPAs toured the facility with Administrator Janet Hermongenes, and Licensee Anthony Guevarra Hot water was checked at 110.4 Fahrenheit. Food supply was sufficient. Fire extinguishers (9) were all serviced and tagged as required. Expires 12/11/23. Residents' common area/TV room was found to be clean and orderly. Two out of six bathrooms were clean, see citation for condition of other bathrooms. Facility has fans as needed for residents. Toxins were locked up and inaccessible to clients. Medications were locked up and inaccessible to residents.

Please submit the following required annual updated forms by 10/12/2023.

Copy of current Administrator certificate

Client Cash Resources-including surety bond