Facility Evaluation Report

On 05/06/26 Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator as the purpose of the visit was explained. The facility is licensed to operate for 4 ambulatory developmentally disabled adults ages 18 through 59. The clients are linked to the Harbor Regional Center. Facility fees are current, surety bond # is active (Western bond 70244032), Liability insurance is active (Alliant insurance services Inc, ACPCG023059558980 exp: 01/01/27).

The facility is located in a residential neighborhood and consists of the following: 4 client bedrooms, 2 common bathrooms, living room, kitchen, dining room, attached garage, laundry room, and an outdoor shaded area. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

LPA conducted a records review of 3 staff records, 4 client records, and 4 medication administration records, and 4 P&I records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 05/03/26, 2 fire extinguishers fully charged, each room has a carbon monoxide and smoke detector that are interconnected and operational.

Exit interview conducted, and a copy of this report was provided.