Facility Evaluation Report

On 07/13/2026 at 1:05 p.m., Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection using the Inspection Tool. LPA rang the door bell and was greeted by staff #1 (S1) who granted access. The administrator, Ann Liza Calderon-Macias greeted LPA and LPA explained the reason for the visit. The administrator designee met LPA shortly after and continued the visit with LPA. This is an Adult Residential Facility licensed for four (4) ambulatory clients.

At approximately 1:10 p.m., with the assistance of the administrator and S1, LPA conducted a physical plant tour. LPA observed appropriate postings by the entry and on the hallway to the clients bedrooms.

Kitchen: The kitchen appliances and fixtures were functional. LPA observed a sufficient amount of 7-day non-perishable and a 2-day perishable supply of food at the facility, properly stored. The fire extinguisher is located in the kitchen and was purchased on 09/22/2025. LPA observed the facility has cook ware and tableware in good repair.

Bedrooms: There are three (03) bedrooms designated for clients, with one designated as a shared bedroom. Each bedroom is appropriately furnished, with a bed, night stand, and chair. The bedrooms also have sufficient lighting, and storage.

Bathrooms: There are three (3) bathrooms designated for clients. All bathrooms were properly supplied and had functional fixtures. The hot water temperature was measured in two (2) out of three (3) bathrooms and read 112.6 degrees Fahrenheit.