Facility Evaluation Report

On 8/2/23 at 8:17 AM, Licensing Program Analyst (LPA) Malia Thao arrived announced to conduct a Pre-Licensing inspection. LPA met with Administrator (ADM) Gina Nguyen. Facility has five bedrooms and 3.5 bathrooms.

LPA toured inside and outside of facility. No obstructions observed. All bedrooms have sufficient furniture and lighting. Sufficient linen observed. Hot water measured 111.3 degrees F. Smoke and carbon monoxide detectors tested and operational. Facility set at comfortable temperature. Dishware and utensils observed. Sharps will be kept in a locked kitchen drawer. Centrally stored medication observed designated to locked file cabinet in office area. First aid kit observed complete. Emergency lighting observed.

1. Fire extinguisher observed last serviced on 7/22/22.

2. Three 5 gallon paint buckets observed accessible in the garage.

3. Master bedroom door was locked and inaccessible.

4. Facility did not have outdoor furniture.

6. Facility's visitor policy was not posted.

7. Facility floor plan sketch to be revised to show correct layout and details; facility yard sketch to be revised for details as required.

8. Exterior fire exit gate latch not working.

9. Plumbing/piping openings observed open/uncovered in two separate walking areas of the backyard.

10. Cabinet where chemicals will be kept has not been completely installed.

Facility to correct all above items before notifying LPA to reschedule a follow up inspection. Comp III was completed with Administrator. Exit interview was conducted. A copy of this report was given to Administrator, whose signature confirms receipt of this report.