Facility Evaluation Report

On 1/28/2026 at approximately 09:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the house manager, Ronald Wilbert and stated the reason for their visit. The acting Co-Administrator, Rashayla Hayes arrived shortly after to assist with today’s visit. The Administrator, Jessica Hernandez is currently on leave.

LPA asked for the census and Staff/Client Roster. LPA conducted a physical plant tour at approximately 11:00 AM and the following was noted:

The facility is a single unit building with four (4) bedrooms and two (2) bathrooms currently occupying three (3) clients. There is no designated staff room. The facility has an approved fire clearance for four (4) non-ambulatory clients. The facility is vendor through North Los Angeles Regional Center (NLARC) and is being operated at a Level III Adult Residential Home.

Common areas: The living room and dining room were observed to be in proper condition. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 72°F. LPA observed a fire extinguisher to be located in the kitchen and dated 02/26/2025. LPA observed postings such as Facility License and Personal Rights located throughout the common areas. A working telephone was observed. LPA observed a fireplace to be covered and inaccessible to clients.

Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Kitchen appliances were observed to be working and in proper condition. The knives/sharps were observed to be kept within a locked box inside of a locked cabinet. The cleaning solutions/toxins were observed to be kept in a locked cabinet located underneath the kitchen sink. (continued on LIC 809-C)