Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced visit at the facility for the purpose of conducting the required annual inspection. LPA utilized the Compliance and Regulatory Enforcement (CARE) Tool to evaluate the facility. LPA was greeted by DSP Tiffany Molina; LPA explained the purpose of the visit. Annette Kyampire, Administrator, arrived a short time later and assisted with the visit.

The facility is licensed to serve 6 ambulatory and developmentally disabled clients aged 18 to 59. Currently, there are four (4) clients in placement. Four (4) clients are over 60 years of age.

Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves. while assisting clients. Staff are disinfecting surfaces often. Facility has sufficient PPE supplies, an Infection Control Plan that requires updating and Mitigation Plan. Bathrooms have hand washing signs, soap and paper towels.

Operational Requirements: Fire Drills are conducted every 3 months; the last fire drill was conducted 03/08/2026 Emergency Disaster/ Earthquake Drills are conducted every 3 months, and the last one was conducted on 03/08/2026.

Facility consists of living room, staff space, kitchen, dining room, 5 client bedrooms, 1 shared, 4 client bathrooms, detached garage, and enclosed backyard. and indoor/outdoor activity areas. LPA observed appropriate furniture, lighting fixtures, personal storage space as required, Beds have adequate amount of linen and mattresses, and box springs are in good repair.