Facility Evaluation Report

Licensing Program Analyst (LPA) Daiquiri Boyd arrived unannounced to conduct the Annual inspection. LPA was granted entry by Caregiver Marshae Jones and explain the purpose of the visit. Administrators Atlena Tatum and Cassandra Bosquez, were at the facility and assisted in the inspection.

During this visit, LPA toured the facility inside & out. Facility is a two story home, no bedrooms were in the upstairs. Resident rooms are on the main floor and contained required furnishings and lighting. Resident hygiene supplies were properly stored and available in the upstairs storage room. The kitchen was toured observed in good repair with necessary items and appliances and sharps/knives were properly stored. LPA observed required food supply and paper products. Medications are centrally stored and locked in a closet off of the living room. Facility has designated visitation areas available inside and out. Doors and passageways are unobstructed throughout the facility. First aid kit was checked and contained all required items.. Laundry room was observed and washer and dryer were clean, in working order and in a central hall. LPA reviewed 3 staff and 3 clients files.

Smoke detectors and carbon monoxide were checked and operating. Fire extinguisher was charged and was serviced on 04/21/2025. Emergency disaster drills are conducted monthly, last drill completed on 04/01/2026.

LPA requested the following forms faxed to CCLD Regional Office by 05/11/2026 : Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309).