Facility Evaluation Report

On 12/08/25 at 1pm, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced annual required inspection. LPA met with staff(ADM, S1, S2). ADM has a current ARF certificate# 7006632735 that expires on 05/02/2026. The facility’s fire clearance was approved for six (6) ambulatory clients.

At 1:15pm, LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of five (5) bedrooms and two (2) full bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for in facility is maintained at 77 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 112 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. Smoke detectors/carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 05/20/25. First aid kit was observed to be complete. LPA reviewed five (5) staff and five (5) client files. All were current and complete.

Updated documents were obtained from administrator during visit:

LIC610D Emergency disaster plan including infection control

LIC308 (Designation of facility Responsibility)

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.