Facility Evaluation Report

On 04/05/2024 at 2:40 pm Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection.

On today's visit LPA met with facility Maria Colin, House Manager. Currently there are 4 residents living at the home, that were attending present during the time of visit. The home is licensed to serve 6 ambulatory clients ages 18 to 59, with developmental disability. The facility is a single-story home in a residential neighborhood. The facility consists of 3 client bedrooms, 2 bathrooms, living room, dining room, kitchen, office, outdoor patio/backyard, and garage/storage room. LPA and House Manager Colin toured the inside and outside grounds of the facility. The outside patio is accessible to clients. There are two seating areas, that have tables and chairs. One of the areas has a canopy to provide shade. There were no bodies of water observed. LPA observed all exits and walkways around the home to be clean, clear, and free of debris and hazards. Continued on LIC809-C