Facility Evaluation Report

On 04/29/26 Licensing Program Analyst (LPA) 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 ages 18-59, clients are linked to the South Central Regional Center, all 6 clients are ambulatory. Land line was observed, liability insurance active (C1GP608739 exp: 12/24/26), surety bond active (#67241, exp: 3/16/27), facility fees are current.

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 3 staff records, 6 client records and 6 Medication Administration Records, and 6 P&I ledgers. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire drill was conducted in March 2026, 4 fire extinguishers fully charged, carbon monoxide detectors observed, smoke detectors are operational.

Exit interview conducted, and a copy of this report was provided.