Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon made and unannounced Annual inspection focused on domains within the Compliance and Regulatory Enforcement (Care) Tools. Upon visit LPA met with DSP worker Edna Calanog. Shortly after LPA met with Administrator Gina Baluyot to discuss the purpose of the visit.

LPA Calderon started the Care Tools with DSP Edna and shortly after Gina assisted with domains.

LPA conducted a tour of the facility along side with Gina. Facility is a one story family home with four (4) bedrooms (1 staff bedroom), two (2) bathrooms (one for staff and one for clients), living room, kitchen, dining area, laundry room, backyard and an attached garage inaccessible to clients.

The following was conducted and inspected:

Outdoor and indoor passageways are free of obstruction.

Bathrooms were clean and operational with grab bars and non-ski mat, hot water measured at 117.6 F.

Smoke detectors were tested. The last fire drill was conducted on 10/24/2022. Done quarterly.

Fire alarms are interconnected and operational.

The fire extinguisher is located in the kitchen.

Carbon Monoxide detector was located in the living room. It was tested and operable.

Sufficient supply of extra linen, towels and personal hygiene supplies. Linens supplies are stored inside the hallway cabinet. Extra Hygiene supplies and PPE are stored inside the garage.

Comfortable temperature for clients was maintained, 72 F.

Front and back yard is in good condition, shaded area is provided.