Facility Evaluation Report

On 5/04/26, Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to PDM Delvin Home. Upon arrival LPA was greeted by Administrator Mira Lopez. Administrator Archimedes Lopez joined the visit 10 minutes later. LPA explained the reason for the visit. This home is licensed to serve (3) Developmentally Disabled Adults, (3) non-Ambulatory and (3) maybe bedridden. The clients served are between the ages of 18 through 59 with 1 hospice wavier, vendorized by Harbor Regional Center. There were (2) clients in care during the time of this visit. LPA was unable to interview the clients due to limited communication. The last emergency disaster/fire drill was conducted on 4/6/2026. The Administrator Certificate expires on 6/3/2027. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (2) staff files, (2) client files, medications, and medication administration records for (2) clients and P&I.

This home contains 3 bedrooms, 1 bathroom, 2 staff bathroom, living room, kitchen, dining room/office area, and an attached garage. LPA toured the physical plant with the Administrator. and observed all (3) client bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The client’s bathrooms contain a working toilet, basin, and water faucet, walk in shower with grab bar, shower chair, and skid mats. The water temperature was measured at 118.0*F-119.7*F. The smoke detectors were battery operated and tested and observed to be working properly.