Facility Evaluation Report

Unannounced annual visit made out to this facility on 11/30/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff (2). This LPA requested that they go ahead and notify the facility designated Administrator, Jeevanjoat Sandhu, who arrived shortly thereafter to this facility while this LPA was conducting this visit. Brief interview was conducted with the facility designated Administrator.

It was learned that this facility is also vendorized through Valley Mountain Regional Center (VMRC) to be able to accept and retain (4) Level 4I residents at any given time.

Current census was (4) residents, of which (2), were out of this facility at their respectable day programs at this time.

Tour of this facility was conducted alongside the facility designated Administrator.

Dining area, living areas, and all other areas designated for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

A tour of the facility kitchen was conducted.

Food storage was reviewed to make sure that this facility maintained the appropriate 2-day perishable and 7-day nonperishable quantities at all times.

Medication cabinet, located in the kitchen area, was observed to be locked and made inaccessible to the residents at this time. Policies and procedures were discussed with the facility designated Administrator in regards to handling, dispensing, and proper documentation of the resident medications.

First aid kit, located in facility office, was observed to be present and contained all of the required components at this time.

Fire extinguisher, located hanging in the kitchen area, was observed to have been annually purchased on 04/21/2022 by way of the retailer Costco with receipt provided upon request by this LPA and in compliance at this time.

A tour of the facility resident bedrooms was conducted on the second floor. Bedroom furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

A tour of the facility resident restrooms was conducted. Hot water temperatures were taken and measured to