Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 12:31 PM. LPA met with facility staff who contacted the facility Co-Administrator Jovilito Gagarin. The Co-Administrator arrived to the facility at approximately 12:45 PM. Entrance interview was conducted and the reason for the visit was explained.

Beginning at approximately 12:45 PM the LPA, along with the Co-Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

OUTDOOR SPACE/GARAGE: The facility has one (1) emergency exit gate located on the side of the home; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed the garage to contain extra oxygen supplies, care supplies, emergency water supplies, and an extra fridge/freezer. LPA observed the garage’s entrance to the interior of the facility to be locked and inaccessible to clients in care.

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured under-sink cabinet to contain cleaning chemicals and a secured drawer to contain knives and other sharp objects.