Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios arrived to the facility to conduct an unannounced required annual inspection. LPA met with a staff member who granted access. Staff contacted the administrator, Andrea Wallace by telephone and LPA Rios explained the reason for the visit. This is an Adult Residential Facility (ARF) with an approved fire clearance for 4 ambulatory clients. In the facility LPA observed (1) staff and five (5) clients. Another staff member arrived shortly after. When LPA asked staff member what the census was they responded "five". According to the administrator a client that had already been in the facility would only be in the facility temporarily. According to the administrator and the newest client accepted they had arrived to the facility three months ago. Community Care Licensing Division (CCLD) regional office received a request to increase capacity from four (4) to six (6). On 03/26/2026 CCLD sent the fire department a fire clearance request. CCLD has not received an approved fire clearance to update capacity. According to the administrator the fire inspector was at the facility two days ago.

At approximately 9:35 AM, LPA initiated a physical plant tour of the facility inside and out and the following was observed.

Common Areas: These include the living rooms, and dining area . LPA observed furniture in the common areas in good repair. Dining and living room furniture sits the capacity of the facility. LPA observed one (1) fully charged fire extinguisher, located by the dining area. LPA also observed two (2) carbon monoxide detectors, one was by the kitchen and the other was in the second floor hallway. They were tested at 9:57 AM and 10:02 AM found to be operational. On a table by the living room leading to the backyard LPA observed a live roach.