Facility Evaluation Report

On 10/09/25, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Anthony Griffin as the purpose of the visit was explained. The facility is licensed to serve 49 ambulatory only adults ages 18- 59. Facility fees are current.

The Facility has two buildings of which male (West wing) and female (East wing) units. The East Wing Building has two floors. The first floor which includes a main lobby 2 offices 1 which houses a medication cart, staff bathroom, 2 storage rooms, 7 bedrooms, 1 shower room, 1 full bathroom, 1 half bathroom, and a laundry room. On the second floor there is a commercial kitchen, small dining room, big dining room, supplies room, 4 bedrooms and two full bathrooms. The West Wing building, there are two floors, first floor which includes 8 bedrooms, 2 full bathroom, 1 half bathroom, 2 maintenance rooms and a storage room. The second floor which includes 8 bedrooms, 2 full bathroom, 1 half bathroom and a storage room. There is also a large patio/smoking area, pantry, storage room, community which serves as an activity/ TV room.

LPA conducted a records review of 4 staff records, 4 client records, and 4 medication administration records. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire drill was conducted on 9/9/25, fire extinguishers are located in both units and are fully charged, carbon monoxide and smoke detectors are operational. LBFD conducted check of alarms and fire signal on 10/09/25.

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