Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted a 1-year required inspection. There are four residents, two were at dental appointments, 2 were at Day Program at the time of the inspection. There was one staff member at the facility at the time of inspection. Administrator was at the dental appointment with clients but arrived after appointment was complete..

LPA toured the facility with Administrator. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. The kitchen was clean and well organized. Toxins and sharps for the kitchen are stored and locked in laundry room. There was an adequate supply of perishable and non-perishable food, which were stored appropriately and dated and bug-free. Medications were stored in locked medication closet making them inaccessible to residents and staff that do not handle medications. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Each bathroom had soap and paper towels. Facility has a sufficient supply of personal protective equipment (PPE). Facility has an Infection Control Plan. The fire extinguisher was serviced on 08/29/2025 and was fully charged. The carbon monoxide detector was tested and operational. The facility has a central fire alarm system. Fire drills are done monthly; the last one was on 12/15/2025. The water temperature was 117.1 degrees F. The outdoor area of the facility was free of debris. There is an outdoor dining area with covered table and chairs. There are also abundant plants and planters for the residents to enjoy gardening in the warmer months.

LPA reviewed four (4) of (4) resident files and found them to be complete. Three (3) of (3) staff files were reviewed and found to be complete.