Facility Evaluation Report

On 04/22/26, Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Administrator, MaryJane Montiano and the purpose of today’s visit was explained. The facility is licensed to operate for 68 Adults ages 18 through 59 of which 50 maybe non-ambulatory. The facility has an approved Hospice Waiver for (5) clients. Currently, the home has (63) clients. .

The facility is located in a residential area and consist of two buildings in one lot. Building #1 consist of 22 non-ambulatory client bedrooms, 4 restrooms, a detached laundry room, a dining-room, kitchen, activity room, pantry, linen closet, medication room, 1 staff office and a designated outdoor smoking area located at the entry of the property. Building #2 is a two-story structure that consist of 15 ambulatory bedrooms, 3 restrooms, a staff lounge, and 1 business office. Facility has a signal system in both buildings. Client rooms were inspected, beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked during the visit. The water temperature measured between 105- and 120 degrees F. A supply of perishable and non-perishable food was observed, and toxins and knifes were stored and inaccessible to clients. Internet service and a landline was observed. 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 (7) client records, (6) staff records, (6) clients Personal & Incidental

Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) Client Medication Administration Records and did not observe any discrepancies at the time of visit.