Facility Evaluation Report

On 03/27/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual

Inspection. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with program supervisor Regina Browden. Administrator Lester Manigque was called and arrived during inspection. One client was present during inspection.

The facility was observed to be at a comfortable temperature at 74 degrees F, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Fire extinguisher was observed with a service date of: 08/24/23. Fire drill last completed on 02/24/24. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 37 degrees F. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured. All bathrooms observed toured. Hot water temperature was tested 105 degrees F. Medications were checked and observed kept locked medication cart. Clients’ MARS was reviewed. Cleaning chemicals was observed stored and locked in the garage and under kitchen sink. Carbon monoxide and smoke detectors were tested and observed to be operational. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. All clients’ and sample of staff files were reviewed to have all the required documents.

No deficiency was cited during inspection.

Exit Interview conducted. LPA received copy of current Administrator certificate, Lic 308, Lic 500, Lic 610D, and Lic 9020. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.