Facility Evaluation Report

On 02/21/2026 at 10:45 am Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility for an unannounced one (1) year Required visit. LPA was greeted and granted access by staff. LPA met with House Manager (HM) Henry Coleman, as Administrator Jessica Hernandez, was not able to meet with LPA. Administrator designated HM to assist LPA and sign the report. 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. Plans were discussed and updated.

A tour of the physical plant was conducted with HM at 12:00 pm. The facility has five (5) bedrooms and two (2) bathrooms currently occupying three (3) clients. One (1) bedroom and one (1) bathroom are designated for staff. The facility is Fire Cleared for four (4) ambulatory clients. All the clients were home resting and watching TV in their rooms.

Kitchen: At 12:30 pm LPA observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects being double locked and inaccessible to clients in care. LPA also observed all chemicals/hazardous items locked and inaccessible. The medication cabinet was observed to be locked.