Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit at 10:20am. No one was available on site. LPA contacted Administrator Todd Kazuyuki Uramoto and informed them they're at the facility. Administrator arrived at approx 11:30am , upon arrival LPA explained the reason for the visit. The LPAs toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

LPA inspected facility for fire safety, personal accommodations, and food service. The facility smoke alarm and combined carbon monoxide system is hard wired and was functional during the inspection. There is one fire extinguisher in the kitchen.

The home capacity is for 4 ambulatory individuals. The facility is a single-story home consisting of a living room, dining room, kitchen, activity area, 5 total bedrooms (4 for client use), 1 bathroom. There is a covered backyard patio and garden area which wraps around and exits on the side of the house.

At approximately 11:30am, LPAs inspected client bedrooms. The client bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each client The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. LPA observed bathroom to be clean, properly supplied and had functional fixtures. The hot water was measured in the bathroom within 105 - 120 degrees Fahrenheit. The bathroom were sufficiently stocked with supplies and paper towels. The LPAs observed required postings throughout the common spaces.

The common areas were appropriately furnished, and the lighting was adequate. There are games and/or activity supplies in the living room as well as in client's room. There was sufficient space to accommodate both indoor and outdoor activities.