Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 02/26/2026. LPA Ramirez was met by Administrator Susan Martinez and explained the purpose of the visit. The facility is licensed to serve four (4) developmentally disabled clients who are ages 18-59. The facility has an approved fire clearance for four (4) bedridden clients.

Infection Control- Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place.

Physical Plant & Environmental Safety- Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to clients, were observed to be inaccessible to clients. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) shared client rooms. All client bedrooms contained the required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees. Two (2) out of the three (3) bathrooms were observed to be wheelchair accessible and LPA observed grab bars near toilets and showers. Operational Requirements - Fire clearance is approved for four (4) bedridden clients aged 18-59 years old. Staff provides care and needs according to the clients’ needs. Outdoor space with plenty of shade was observed. LPA reviewed and obtained a copy of liability insurance and surety bond. Per Administrator Martinez, the facility does not manage cash resources for clients.

Staffing- Administrator Certificate for Susan Martinez expires 12/02/2027. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. One (1) staff are on duty from at least 10pm to 6am to provide nighttime supervision.