Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required 1-Year visit to this facility. LPA met with Administrator and gained entry and discussed the purpose of this visit.

During the tour, LPA observed that the facility is a single- story home located in a residential community. The facility is an Adult Residential Facility (ARF). At about 9:55am, LPA Antonia Alvizar-Ettima and Administrator conducted a tour of physical plant inside and out. The facility consists of a living and dining room, kitchen and five (5) bedrooms and (3) three bathrooms. Two (2) bedrooms are double occupancy are used for male clients. Two (2) bedrooms are double occupancy and one (1) private bedroom are used for female clients. One (1) full size restroom is used for male clients and two (2) full size restrooms are used for female clients. Facility current census is nine (9) clients.

During Eaton Fire Emergency procedures, the facility was approved for capacity waiver, to bring 4 male residents from the Robinson’s Manor (Facility # 191229547 ) due to burning to the ground. However, after the emergency evacuation was lifted the facility was notified that they need to decrease the capacity from ten (10) to six (6) clients or original census. The Administrator was reminded that at the time of this visit the facility is operating over capacity and the licensee must make corrections as soon as possible. During visit seven (7) clients are attending Day Program, one (1) client was out in the community and one (1) client was at facility and interviewed by the LPA. Common areas were clean and appropriately furnished.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: