Facility Evaluation Report

On 10/27/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Direct Support Professional (DSP), Marissa Paule, and explained the purpose of today's visit. We were later joined by Administrator, Melonie Suarlez .

The facility serves developmentally disabled clients ages 18-59 and is approved for 4 ambulatory and 2 non-ambulatory. There was one client present during time of visit.

Physical Plant/Structure The facility is a single-story home in a residential neighborhood. The home consists of the following 6 bedrooms (4 Client rooms, Office, Supply room), 3 bathrooms, activity room/office, living room, kitchen, dining room, shaded area, outdoor activity area, laundry room and an attached garage. All walkways outside were observed clean, clear, and free of debris, hazards, and obstructions. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all bedrooms and found them to be clean and in good repair. All client bedrooms had the required furniture, including a bed, dresser, nightstand, chair, and ample storage space for Client's personal belongings. All beds were observed with the required linens including a mattress cover, fitted sheets, blanket, comforter and pillows. All bedding was observed to be in good repair. LPA observed an ample supply of bed linens in a cabinet in the hallway. All bedrooms had ample lighting.

Bathrooms LPA inspected all bathrooms and found them to be within Tittle 22 regulations. All bathrooms were observed clean and operational. LPA observed showers had nonskid mats, shower chairs available, and secured safety hand rails. LPA observed and ample supply of towels, wash cloths and hygiene products in a closet in the bathroom. The water temperature measured 110.6-degrees Fahrenheit.

Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliances to be operational and in good repair. LPA observed an ample supply of cutleries, pots, and pans in good repair. LPA observed a 3-day supply of perishable and a 7-day supply of non-perishable foods. All foods were observed properly stored and labeled. Sharps are secured in a locked cabinet in the laundry room. Cleaning supplies are secured in a locked cabinet under the kitchen sink. The water temperature measured 118.3-degrees Fahrenheit.