Facility Evaluation Report

On July 29, 2025, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Direct Service Provider (DSP), Marjorie Hernandez, and explained the purpose of the visit. Administrator, Carrie Segee, arrived approximately 15 minutes later.

LPA and DSP toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, shed, and common restrooms.

LPA observed all medications and cleaning supplies to be locked in separate cabinets and inaccessible to residents. LPA observed sharps to be locked in a kitchen drawer and inaccessible to residents.

Facility has a 2-day perishable and a 7-day non-perishable amount of food. Hot water temperature was measured at within Title 22 regulations. LPA observed smoke detectors, carbon monoxide detectors, and fire extinguishers throughout the facility. Fire Extinguishers were last inspected in September, 2024. LPA observed logs documenting the facilities disaster drills with the last drill being conducted in June 2025. The facility is conducting drills monthly. LPA observed a complete emergency first aid kit ready for emergency use.

LPA reviewed a total of three (3) residents' files and three (3) staff files which contained all required documentation. At the time of the inspection, Administrator noted that staff files were not on the premises as they were being updated and reviewed for accuracy at an alternate location. LPA and Administrator discussed the importance of maintaining staff files on the premises. Administrator left the facility briefly to obtain the files for LPA review. All staff are fingerprint cleared. Administrator provided LPA with an updated employee list.

No deficiencies are being cited as a result of this inspection. This facility is currently in compliance with Title 22 Regulations.Exit interview conducted. Administrator verbally approved Skyla Silva, Direct Service Provider, to sign acknowledgement of this report. A copy of this report was provided to administrator, via email.