Facility Evaluation Report

On 10/30/2025 at approximately 09:30AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Adult Residential Facility (ARF). LPA was greeted by Lead Staff Member, Gustavo Carvajal. Administrator, Rodrigue Ndomo, arrived at approximately 10:30AM. The facility currently approved for capacity of 3 clients. Facility also has an approved fire clearance and capacity for 3 non-ambulatory residents. Upon arrival, LPA was informed that there were 3 residents in care and 4 staff members on-site. Facility is a 1 story building with 3 clients bedrooms, 2 bathrooms, and common spaces.

At approximately 10AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 10:30AM, LPA and Lead staff member toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked cabinet and under the sink inaccessible to clients in care. Water temperature measured 110.6 degrees F and 112.4 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire Extinguishers found to be last charged on 16/04/2025 at the time of visit. Carbon Monoxide and smoke detectors were present and in order. There was enough lighting in all common areas, resident rooms, and hallways.