Facility Evaluation Report

On 08/21/25 Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Walkiria Linda Whitford as the purpose of the visit was explained. The facility is licensed for four (4) non-ambulatory clients ages 18-59 with developmental disabilities. Hospice waiver approved for (1). Clients are linked to the Harbor Regional Center. Pass due facility fees info provided (balance $454 Pin: 456509), there is an active surety bond with expiration date of 04/05/26.

The facility is a single-story structure located in a residential neighborhood and consists of the following: (4) client bedrooms, (2) client bathrooms, living room, dining room, family room, kitchen, an office , an attached garage with washer and dryer/ storage area, backyard with a shaded seating area. A supply of perishable and non-perishable food was observed. Toxins and knifes were observed to be stored and inaccessible to clients. 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.. Exits and walkways are free of debris/hazards. No weapons nor bodies of water on the premises.

LPA conducted a records review of (3) staff records, 4 client records, 4 medication administration records, and (4) P&I ledgers. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 08/04/25, fire extinguishers fully charged, carbon monoxide and smoke detectors were observed to be operational.

Exit interview conducted, appeal rights explained, and a copy of this report was provided.