Facility Evaluation Report

On 04/27/2026 at 10:00 am Licensing Program Analyst (LPA) Lorena Casillas met with administrator Belinda Rene Hicks for an unannounced one (1) year required visit for this facility. Upon arrival LPA was greeted and granted access by the Administrator. LPA explained the reason for the visit and an entrance interview was conducted.

Infection Control and Emergency Preparedness Plan: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure protocols are being reviewed and/or updated annually. Plans were discussed and updated. Emergency drills are up to date and last held on 04/01/2026.

A tour of the physical plant was conducted with the Administrator at 11:20 am. The facility has five (5) bedrooms and two (2) bathrooms. Three (3) rooms are used for clients, one (1) room is used for storage and one (1) room is a staff bedroom. Facility is fire cleared for two (2) ambulatory clients and two (2) non ambulatory for a total of four (4) clients. The following was observed:

Common Areas: LPA toured all common areas of the facility. LPA observed common areas to be clean and furniture to be in good repair. The facility maintains a comfortable temperature at 71˚ F. LPA observed fire extinguisher to be full and last purchased on 03/31/2026. At 11:20 am the carbon monoxide and interconnected smoke detectors were tested and functioning properly.

Laundry service: The laundry room remains locked at all times and was observed to be neat and clean. Detergents and chemicals were observed to be in a locked cabinet within the laundry room.