Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Required inspection and met with Stacy Sharp, Administrator. There are currently 11 residents at this Adult Residential Facility. There were 5 staff on site at the time of inspection.

LPA conducted a walk-through of the facility and found it to be clean, well-organized and a comfortable temperature of 74 degrees F. There are 6 carbon monoxide detectors which were tested and operational at the time of inspection. There are 4 fire extinguishers which were fully charged and last serviced on 04/20/2026. The facility had an Emergency Fire Drill on 04/30/2026 for the AM shift. PM and NOC shift will have a drill later in the quarter. The facility has a central fire sprinkler system, which was inspected on 05/02/2026. Each staff member has First Aid/CPR training. The med room is locked and medications are double-checked prior to being administered. The kitchen was well-stocked and sharps are locked when not in use. There was an ample supply of perishable and non-perishable food, as required in Title 22. Residents' rooms were furnished per regulation and included many personal touches.

LPA observed that the facility provides many activities for the clients such as meal prep and planning, recreational activities and social gatherings, in addition to most of the clients attending day programs.

LPA and Administrator discussed plans for elder clients at the facility and how the program plans to meet their needs including staff trainings in Dementia and Elder Care. LPA requested updated Emergency/Disaster Plan and Infection Control Plan as well as LIC500 and resident roster.

Exit interview conducted with Stacy Sharp, Administrator, whose signature on this document confirms receipt.

No deficiencies cited during this inspection