Facility Evaluation Report

On 08/09/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Direct Support Professional, Martha Amparo, and the purpose of today’s visit was explained. The facility is licensed to operate for four (4) ambulatory clients ages 18 through 59. Currently residing in the facility are four (4) clients placed by the Harbor Regional Center. During the time of visit, two (2) clients were present.

Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, two (2) bathrooms, living/office area, kitchen, dining room, attached garage and outside shaded patio area. The backyard has a table with umbrella and chairs. LPA observed all walkways around the facility to be clean, clear, and free of obstructions, debris, and hazards. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all client rooms and observed the walls and floors to be in good repair. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. LPA observed all client rooms had the required furniture including a bed, dresser, nightstand, storage (1) Continued On LIC809-C