Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required – 1 yr. inspection of this facility. 2 care staff were present at the time of inspection. LPA had temperature taken and logged in as a visitor to the facility and access was granted. 5 residents were present at the facility and 2 residents were attending Day Program.

LPA toured the facility on 7/28/2023 with staff; facility was found to be clean and at a comfortable temperature of 71 F with all exits free from obstruction. Residents' bedrooms, common areas, kitchen & food storage areas were inspected. Seven (7) smoke detectors and two (2) carbon monoxide detectors were found to be operational during the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator was properly stored as per regulations on this day at the time of the visit. However, LPA and Caregiver observed toxins were accessible to residents in care in a closet covered by a curtain rather than by a secured, locked door. (See LIC 809D and LIC 812-Observation/Photos). Staff did remove them immediately and placed them in a secured shed. Sharps and other items were stored inaccessible to residents in a locked drawer in kitchen. There was a supply of cleaners, hygiene products and paper products available for clients. All residents' bedrooms have lighting & appropriate furnishings. Medications are stored in a locked cabinet in the living room; beside that is a locked refrigerator for medications requiring refrigerated storage.