Facility Evaluation Report

On 02/13/26 Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with thee Administrator as the purpose of the visit was explained. The facility is licensed to serve (4) non- ambulatory clients ages 18-59, clients are linked to the Harbor Regional Center. Facility fees are current, facility has an active surety bond.

The facility is a single-story structure located in a residential neighborhood and consists of the following: 4 bedrooms, 2 common restrooms, laundry area, dining area, kitchen, pantry, linen closet, 1 staff office, a designated outdoor shaded area and a detached garage that is used as storage space. The facility has a working land line and internet service. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, emergency food supply observed. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. There are no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

LPA conducted a records review of 3 staff records, 3 client records, 3 medication administration records, and 3 P&I ledgers, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 01/12/26, 1 fire extinguisher fully charged and mounted in the kitchen, carbon monoxide and smoke detectors are operational.

Exit interview conducted with Administrator and a copy of this report was provided.