Facility Evaluation Report

On 8/04/2023, Licensing Program Analyst (LPA) Wendy Gibbs and Ruby Velasco conducted an unannounced required annual visit using the CARE Inspection Tools. LPAs met with House Manager, Meliza Bumanlag, and explained the purpose of today’s visit. The facility serves adults aged 18-59, ambulatory only. The facility is licensed for six (6) ambulatory adults. During time of visit there were 5 residents present.

Structure The facility is a single-story home in a residential neighborhood. The home consists of 4 client bedrooms, 2 bathrooms, living room, dining room, kitchen, office, and staff room.

Physical Plant LPAs toured the facility with House Manager. The front and backyard were landscaped and clean. The backyard has a shaded patio area with a table and chairs. All walkways were clean, clear, and free of obstructions, hazards, or debris. The gates on the side of the home open quickly and easily for exiting. No bodies of water were observed on the premises.

Bedrooms LPAs inspected the bedrooms and found the walls and floors to be in good repair. All rooms had the required furniture, including a bed(s), dresser(s), nightstand(s) with lamp(s), chair(s), and ample closet space for residents to store their belongings. LPAs observed the required linens on all beds, including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPAs observed an ample supply of linens stored in the cupboard in the hallway. All bedrooms were observed to have ample lighting.

Bathrooms LPAs inspected both bathrooms and found they meet Title 22 regulations. Both bathrooms were observed to have fully functioning toilets, sinks, and showers. All showers were clean and free of mold or mildew. All showers had non-skid material, secured safety handrails, and shower chairs available. LPAs observed an ample supply of toiletries in a cabinet in the bathroom and an additional supply in a cupboard in the hallway. LPAs observed an ample supply of towels, wash clothes, and hand towels stored in a cabinet in the hallway. The water temperature measured 105.0-degrees and 118.0-degrees Fahrenheit.