Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 12/21/2023. LPA Ramirez was met by Licensee/Administrator Manuelita Reyes and explained the purpose of the visit. The facility is approved for six (6) ambulatory developmentally disabled adults, ages 18-59.

LPA OBSERVATIONS: The facility is a single-story dwelling located on a main street. The facility consists of three (3) client bedrooms, three (3) staff bedrooms, two (2) full bathrooms, kitchen, dining room, living room, front yard, backyard and attached garage.

Front Yard: LPA Ramirez observed front yard to be free of hazards. Front yard was well maintained.

Kitchen: LPA Ramirez observed appliances to be in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed a fully charger fire extinguisher nearby. Kitchen sink temperature was measured at 103.6-degree F. Knives and sharps were observed in locked safe on top of kitchen counter.

Dining Room/Living room: Dining room was observed to contain one table with five (5) chairs. Living room was observed to contain plenty of lighting. LPA Ramirez observed a fully charged fire extinguisher nearby. LPA Ramirez observed nearby thermostat to read 69 degrees F.

Linen Closet/Supply Closet: Observed to contain plenty linens, towels, and hygiene products.

Client Rooms 1 - 3: LPA Ramirez observed client bedrooms#1-3 to contain the required linens, furnishings, and lighting. All client bedrooms are currently shared.