Facility Evaluation Report

Licensing Program Analysts (LPA's) Tyler Reyes conducted an announced Pre Licensing visit and met with Administrator Glorie Pascasio and Licensee Jessica Montesines. The purpose of the visit was to inspect the physical plant for licensing and to conduct the Component III orientation. The facility has a capacity of (4) four and will serve clients with an age 18- 59. Administrator Glorie's Adult Residential Facility (ARF) Certificate expires 01/04/2025.

The facility physical plant consists of a single story structure that consists of a living room, (4) client bedrooms, (1) staff office, (2) restrooms, kitchen, dining room, garage, front and backyard. Physical plant inside and outside is in good repair. Water temperature in restroom #1 measured at 105.8 degrees f. and restroom #2 water temperature measured at 108.8 degrees f. A first aid kit, along with current first-aid manual readily available was observed. LPA observed locked storage area for central storage of client’s medications. A designate locked area where cleaning supplies, poisons, and toxins will be kept separately from food supply storage. An outdoor activity space with shaded area and furnished for client outdoor was available.

LPA's and Administrator Glorie conducted a tour of facility and LPA's inspected the facility which consists of the following:

Passageway and doors are not blocked or obstructed.

Beds have the following required linen/supplies: pillowcase, fitted sheet, blanket and bedspreads.

Mattress and bedsprings are in good repair.

Clients furniture: one chair, night stand, adequate lighting for each client, and adequate closet and drawer space.

Refrigerator, stove, sinks, toilets and shower operate properly.