Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced required Annual Inspection on 05/12/2026. LPA was met by Administrator Grace Afara and explained the purpose of the visit. The facility is licensed serve four (4) developmentally disabled clients 18-59 years old, of which all four (4) must be ambulatory. No firearms are stored in the facility.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control- Staff are using appropriate hand hygiene etiquette and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place.

Physical Plant & Environmental Safety- Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to clients, were observed to be inaccessible to clients. LPA Ramirez observed carbon monoxide detectors and smoke alarms. LPA Ramirez inspected four (4) client bedrooms. All bedrooms contained required furniture, linens and lighting. All client bedrooms are shared. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees. During annual inspection, LPA observed one (1) of the four (4) client bedrooms to be unoccupied.