Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual using the CARE inspection tool. LPA met with Evelin Romero and explained the reason for the visit. Administrator Marites Beltran arrived an hour later.

Facility is licensed to served 6 ambulatory clients between the ages of 18 to 59 years old. Facility is a single story home located in a residential neighborhood and consists of 3 client bedrooms, 1 staff room, 2 client bathrooms, a living room, a dinning room, a kitchen, an activity area, a basement inaccessible to clients, a shaded front porch, a front yard, and a back yard.

The following CARE tool domains were reviewed during this visit:

Infection Control: Facility maintains an infection control plan. Hand sanitizing and infection prevention were observed at the facility. A responsible person was available at the facility.

Physical Plant & Environmental Safety: LPA toured the facility with Evelin Romero and observed the facility is clean and in good repair indoors and outdoors. Living room, dining room have sufficient seating area. Each client bedroom has sufficient lighting, the required furniture and bedding supplies. Two bathrooms were observed clean and in good repair. Water temperature was tested between 106.3 - 106.8 degrees F., which is within the required 105-120 degrees F. Second dining room was observed clean, a medication cart was observed and emergency food supplies stored in this area. Carbon Monoxide/Smoke detectors were observed. Laundry area was observed clean and in good repair. Kitchen was observed clean, in good repair. Passageways and exit areas were observed free of obstructions. No large bodies of water were observed. Fire extinguishers were observed which were last checked on 5/21/25. (CONT. 809C)