Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection and was greeted and granted entry by staff. LPA met with House Manager Rudy Ignacio and explained the nature of the visit. The facility currently has six residents in care.

The facility is a one-story home with six resident bedrooms, four bathrooms, staff bedroom, kitchen, dining room, living room, backyard with patio and attached 2-car garage. LPA observed required departmental postings throughout the facility. LPA observed resident bedrooms to have all the required components and furnishings. LPA observed resident bathrooms to have toilet paper, paper towels and non-slip mats. LPA tested the water in resident bathrooms to be at 118.5-118.9 degrees Fahrenheit. LPA observed the knives to be locked and made inaccessible to residents in care. LPA observed bugs in the kitchen cabinets. LPA observed a fire extinguisher in the kitchen charged and with a service date of July 12, 2024. LPA observed the garage not locked and made accessible to residents in care. LPA observed toxins and chemicals accessible to residents in the unlocked garage. LPA observed medication in the garage fridge and made accessible to residents in care. LPA observed the centrally stored medication to be locked and made inaccessible to residents in care. LPA observed the backyard to be free of obstructions. LPA observed a shaded seating area for resident use. LPA tested fire detectors and they were found to be operational. LPA observed no operational carbon monoxide detector.

LPA observed incomplete staff files. LPA observed resident files and no discrepancies were observed. LPA observed the last fire drill conducted on May 25, 2025. LPA observed resident medication and 6 out of 6 residents did not have prescriptions for over the counter medication. All staff present are fingerprinted and associated to the facility.