Facility Evaluation Report

On 07/10/2024 at 1:34 PM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Facility Manager Meliza Bumanlag. LPA explained the purpose of the visit and was accompanied by Facility Manager inside and outside the facility during this inspection. The facility serves adults aged 18-59, ambulatory only. The facility is licensed for six (6) ambulatory adults.

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.

Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises.

Four client bedrooms were checked. Adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly. Adequate lighting and toiletries accessible to clients. LPA Cloyd tested hot water temperature and it measured at 108 degrees Fahrenheit. This facility provides clients with hygiene products such as nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb.

LPA observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days.