Routine inspection·December 7, 2023

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an inspection. There was two staff members at the time of inspection. Administrator was contacted via phone. House Manager Paulin Panting arrived within 20 minutes. LPA Nakagawa found the facility to be clean and well organized. The 5 residents were clean and dressed appropriately, and participating in activities and then sharing dinner and conversation. The bedrooms were clean and furnished as per regulation. Residents had personal items to make their rooms homey. Camera was in use in resident room; sign was posted. The kitchen was clean and well-appointed with plenty of cooking equipment. There was an ample supply of perishables and non-perishables as required per regulation. The bathrooms were equipped with handsoap and paper towels. One bathroom was undergoing repairs, but the other bathrooms in the facility were operable, minimizing the impact on residents. The facility's backyard was free of debris and had a nice outside space with tables and chairs and raised gardens for residents' enjoyment, as well as several fruit trees and a variety of plants. LPA reviewed 5 resident files and found them to be complete. All personnel files were not available at the time of inspection, but the one reviewed was complete. (Continued on 809-C) LPA requested the following documentation: LIC 308 Disaster Plan Proof of Liability Insurance Updated Facility Sketch Request for Fire Inspection Personnel files There were no citations issued at the time of this inspection.