Facility Evaluation Report

On 9/5/2025, 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 Medina Leynes, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. The facility Administrator Elizabeth Wilson contacted over the phone. 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. The facility is operating level 4 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 under 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 dining area with a last service dated 9/3/2025. A weekly menu was also available for clients.

Bedrooms: There are four (4) bedrooms in the facility, and all bedrooms are designated for clients use only. 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.