Facility Evaluation Report

On 03/09/2026 at 12:00 pm Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility for an unannounced one (1) year Required visit. LPA was greeted and granted access by Administrator Marie Bru. LPA explained the reason for the visit and an entrance interview was conducted.

A tour of the physical plant was conducted with Administrator at 12:30 pm. The facility has four (4) bedrooms and two (2) bathrooms, one (1) bedroom is designated for staff use. Currently there are five (5) clients occupying three (3) bedrooms. The facility is Fire Cleared for six (6) ambulatory clients. All clients were out in the community.

Infection Control and Emergency Preparedness Plan: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure protocols are being reviewed and/or updated. Plans were discussed and updated.

Living and dining: LPA observed the living room to be neat and clean along with the dining room. Dining table has enough space to seat all clients. The facility maintains a comfortable temperature at 71°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 12:55 pm.

Hallway Closet: LPA observed the locked hallway closet containing cleaning supplies, laundry detergent and a supply of PPE. LPA observed the laundry area to be in the hallway. The laundry detergent was safely locked in the closet.