Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Annual Required visit and inspection of the facility. LPA met with Jannie Blake - Co Administrator and explained the reason for the visit. The Adult Residential Facility (ARF) has an approved fire clearance for 6 ambulatory clients; current census is six (6).

At 10:15am, with the assistance of Co-Administrator, LPA took a tour of the physical plant. Required postings were observed in the kitchen and the hallway. The smoke/carbon monoxide detectors are battery operated. The smoke/carbon monoxide detectors were tested and observed to be functioning properly. The fire extinguisher is located in the kitchen and has a charge date of 09/12/2025. Facility conducts quarterly fire/earth quake drills; the last fire/earth quake drill was conducted on 04/01/2026.

Kitchen : LPA observed a refrigerator, stove, microwave oven, dishwasher and laundry machines in the kitchen. Sharp objects were locked in a cabinet in the kitchen and cleaning solutions and detergents were locked under the sink. There is a large supply of dishes in the cabinets. Facility has perishable foods for two (2) days in the refrigerator. A supply of non- perishable foods for seven (7) days were kept in the garage. All kitchen surfaces and appliances were observed to be clean and sanitary. The kitchen has an exit door, leading to the front.

Common Areas : The living room is located near the entry and it leads to the dining area. There is a door in the dining room, leading to the kitchen and there is a sliding door leading to a recreation room. There is a screened, non-functional fireplace in the recreation room, along with games, newspapers, television, cable and internet access. The common areas were properly furnished with ample seating for all residents and staff.