Facility Evaluation Report

On 04/10/25 Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit, LPA met with DSP-Lynda McCullough as the purpose of today’s visit was explained. The facility is licensed to serve 7 developmentally disabled clients (age 18-59), current census is 6. Clients are linked to the South Central Regional Center, all (6) residents are Ambulatory. Land line was observed, surety bond active (#67241, exp: 3/6/26) DSP provided with upcoming facility fees info and pin, balance is $681.

The facility is located in a residential area and consist of a two-story structure in an apartment complex, apartments "C" and "D". Apt. "C” includes only the upstairs, which has 3 shared bedrooms, two bathrooms, living rooms and (2) staff offices. Apt. "D" includes both the downstairs and upstairs, downstairs has a kitchen, pantry, dining room, a staff break room, 1 client bedroom, 1 bathroom, and a detached garage that houses a washer/dryer, staff refrigerator, an additional freezer, a storage area for hygiene supplies and toxins. There are no firearms nor bodies of water on the premises. Exits/ Walkways around the facility were free of debris and hazards.

All client rooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathrooms were found to be within Title 22 regulation, toilets and water faucets worked properly, showers are free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Knifes were observed to be locked and inaccessible to clients.

LPA conducted a records review of 2 staff records, 4 client records and 4 Medication Administration Records,