Facility Evaluation Report

On 08/06/25, at 7:40am , Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA met with Antonia Achieng, Administrator.

LPA asked for the census, client, and staff rosters. The administrator stated there are no clients and/or staff at the facility.

The facility has been licensed as an Adult Residential Facility (ARF) and level four (4). The requested capacity is for four (4) clients. The physical plant was toured inside and outside at 8:00am . It is a single, story home.

Kitchen area: was sufficiently stocked with seven (7) days of perishable and seven (7) days of non-perishable food. There is one (1) refrigerator in the kitchen area. The cabinets have canned goods. Sharps are kept secured and locked in one (1) of the cabinets under the sink. The fire extinguisher was observed to be full and dated 08/05/25.

The medication will be kept at the entrance of the facility on your left hand side locked and secured. The medication pantry is currently empty with no medications due to the facility having no clients. The first aid is also kept in the same pantry.