Facility Evaluation Report

On 11/5/2025, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct a required Annual Inspection. Upon arrival LPA was greeted by the DSP/Caregiver Chidimma Nwankwo, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. The facility Administrator Ana Rojas arrived shortly after. LPA Khurshudyan reviewed the required postings on a wall throughout the facility. The inspection tool was used to complete today's visit.

At 11:25am LPA, with the help of the caregiver, began a physical plant tour of the facility and the following was observed: This is a single-story building with four (4) bedrooms, two (2) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for four (4) ambulatory clients. Facility is operating level 4-G clients.

Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps inside the locked kitchen cabinet. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed one (1) fire extinguisher located in the hallway with a last service dated 5/28/2025. A weekly menu was also available for clients and was posted on the fridge.

Bedrooms: There are four (4) bedrooms in the facility designated for clients’ use, one (1) room for staff use only, and one (1) room for office use. All bedrooms are for private use. LPA observed bedrooms to be properly furnished with beds, linens, night stands, chairs, drawers, closets, and adequate lighting. All bedrooms appeared organized and clean.