Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Program Manager Ezekiel Mesa and explained the reason for the visit. The purpose of the visit is to complete the required inspection.

LPA Trueman toured the facility along with Program Manager Ezekiel Mesa today 04/24/2026 at 12:40 PM and the following was observed:

Facility contains : Front office, conference room, supervisor office, manager office, 2 activity rooms , 6 programming rooms, storage room, infirmary, 4 restrooms each with sink and toilet and a kitchen area.

Annual Inspection includes the following Domains:

Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records- Training, Client Rights Information, Client rights- Incident Reports, Food Service, Health Related Services, Incidental Medical Services, and Disaster Preparedness.

4 client files and 4 staff files were reviewed

Medication is not being administered for any clients.

Signage for hand washing and proper sanitizing were posted. Staff have been trained in hand washing.

Direct care staff had a minimum of 8 hours of annual training,

Licensee maintained an individual admission agreement for each client.

Hot water temperature was measured between 105F and 120 F. meeting regulations.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Program site was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors.

Exit interview conducted and copy provided.