Facility Evaluation Report

On 07/22/26 Licensing Program Analyst (LPA) Villegas conducted an unannounced Annual Inspection, LPA met with Jarice Ware as the purpose of the visit was explained. The facility is licensed to serve (4) developmentally disabled clients ages 18 – 59. The clients are from Westside Regional Center. Facility fees are current. Liability insurance is active (PHPK2589160-005 exp: 08/16/26).

The facility is a single-story home located in a residential neighborhood. The facility consists of the following: three (3) resident bedrooms, two (2) bathrooms, living room, dining room, kitchen, den, and back patio with shaded area as well as attached garage. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

LPA conducted a records review of 3 staff records, 3 client records, and 3 medication administration records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 06/20/26, 2 fire extinguishers fully charged, carbon monoxide and smoke detectors are interconnected and operational.

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