Facility Evaluation Report

On 05/07/24 at 12PM. Licensing Program Analyst (LPA) Daisy Panlilio arrived unannounced to conduct a pre-licensing inspection. LPA met with staff (Administrator/ADM) and explained the purpose of the visit. The facility is currently licensed as a Group Home for children. ADM has a current Adult Residential Facility (ARF) certificate # 6070146735 which expires 03/25/2026. ADM stated 6 clients reside at the facility. Fire clearance was granted on 02/01/24 for 4 ambulatory and 2 non-ambulatory clients with a total capacity of 6 clients.

LPA toured the facility with ADM including but not limited to the clients' bedrooms, common areas, kitchen, and outdoor area. LPA observed a screening station near the front entrance with a no touch temperature probe, visitors' log and hand sanitizer. Facility has adequate lighting. Indoor and outdoor passageways were observed free of obstruction. There were no bodies of water observed.

LPA observed and tested hot water temperature at 105.2 deg F. LPA observed 2 days supply of perishable and one week supply of non-perishable foods. Towels, sheets, activity supplies and hygiene products were observed available. The facility has 2 full bathrooms with a half bath. LPA observed the shower area has non-skid floor tiles. There are activity materials observed in the living room. Facility has flashlights available for emergency use. LPA observed emergency supplies, PPEs and extra food supplies stored inside the garage. There is sufficient lighting throughout facility. First-aid kit was observed to be complete.