Facility Evaluation Report

On 5/16/2023 at 8:25AM, Licensing Program Analyst (LPA) G. Luk conducted an announced Pre-licensing Inspection. LPA met with Licensee/Administrator, Ovilio Garcia . LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room, garage, and outdoor area. Hot water temperature was measured at 119.9 degrees F. Facility has a locked cabinet in the kitchen for Medications. First aid kit was complete. Fire extinguisher was observed to the full and last serviced on 4/11/2023. Smoke and carbon monoxide combination detectors were observed. No bodies of water observed. Disaster plan was completed on 4/28/2023. Home was clean and well ventilated with appropriate lighting. Licensee purchased surety bond on February 14, 2023.

Facility has some non-perishable and perishable food supplies. Licensee will purchase additional food supplies prior to admitting clients. There were appropriate number of utensils, plates, bowls, and cups at the facility.

No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Centralized Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required.

Exit interview conducted and a copy of this report provided.