Facility Evaluation Report

On 1/26/2026, Licensing Program Analysts (LPAs) Antonia Alvizar-Ettima and Angelica Segovia conducted an unannounced required annual visit to the facility. LPAs met with both Direct Support Professional and Supervisor. LPAs explained the reason for their visit. The Administrator arrived shortly after to assist with today’s visit. LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today.

A physical plant tour was conducted at approximately 10:15AM with the Supervisor and Direct Support Professional for compliance with safety, maintenance and operational requirements. The following was noted:

There is one (1) main entrance at the facility and there are required posters posted at the main door. Facility is a single-story residence and consists of eight (8) bedrooms and six (6) bathrooms currently occupying twelve (12) female clients and two (2) male clients. There is no designated staff room. The facility maintains a comfortable temperature at 73°F. The smoke detectors and Carbon Monoxide detectors were tested and function properly. Fire extinguishers are located in the common areas and at the end of the hallway near the bedrooms. Fire extinguishers were fully charged and tag date is 12/22/2025. Cleaning supplies and toxic substances are inaccessible to clients. Kitchen: The kitchen appeared to be clean and the appliances and fixtures functional. This kitchen is used to prepare and cook all meals for clients in care. LPAs observed there to be sufficient amount of perishable and non-perishable food at the facility. Additional food was observed to be properly stored in both the laundry room and basement. Sharp objects are stored and locked in a drawer in the kitchen.