Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met Administrator Manuelita Reyes and explained reason for visit.

Facility is licensed to serve six (6) ambulatory developmentally disabled adults, ages 18-59. The facility is in a residential area, and it is a one-story family home 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.

LPA toured the facility and observed the following:

Each client bedroom has the required furniture and bedding. There is extra clean linen and towels in hallway closet. Smoke detectors/carbon monoxide detectors were observed in each room and throughout the facility and are properly operating. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. Cleaning supplies and toxic substances are inaccessible locked in garage. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The facility has a swimming pool that is covered and that has a locked gate around pool There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction.

Four (4) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Four (4) client files were reviewed and included physicians report, TB clearance, and appraisal needs and service plan. Last fire/earthquake drill was conducted in November 12, 2025. Infectious control plan was reviewed. One (1) staff and two (2) clients were interviewed. Six (6) client medications were reviewed. Medications are centrally stored and locked MAR log is used.

No deficiency was observed during today’s visit. Exit interview was conducted with Administrator and a copy of report was provided.