Facility Evaluation Report

On 09/18/2025 at 1:00 PM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with the Administrator, Elena Rivera, and explained the purpose of the visit. Administrator certificate is current. The facility’s fire clearance was approved for ambulatory only.

LPA toured the facility including inside and out but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 4 bedrooms are occupied by the clients, 1 bedroom is occupied by staff, and 1 office/den. All outdoor and indoor passageways are kept free of obstruction. LPA observed lighting in all rooms is adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 107.2 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene's was available for clients.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 03/25/2025. First aid kit was observed to be complete. Fire drill was last conducted on 08/17/2025.

At 1:38 PM, 4 of clients records were reviewed. At 1:55 PM, 4 staff records were reviewed and 4 of 4 have current first aid training and are associated with the facility. LPA reviewed client's P&I money with log. LPA reviewed two samples of clients' medications.