Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by House Manager, Gladys Framo. LPA met with Administrator (AD) Brandon Penalosa and explained the purpose of the visit.

The facility is a six bedroom, two bathroom, single story residence with an approved fire clearance of four ambulatory and two non-ambulatory clients. The facility currently has a census of five clients in care. Upon entry at 1pm, one client was in the facility and the remaining four were at Day Program. All clients arrived home by 2:30pm.

The facility was a comfortable 76 degrees Fahrenheit and an aquarium was observed in the living room with fresh water fish LPA toured the kitchen and observed appliances were in working order. A menu was posted on the refrigerator and there were two days of perishable supplies on hand and seven days of non-perishable supplies in a hallway pantry and in the garage. Sharps and knives were secured in a drawer and chemicals/hazardous material were locked under the sink and in the garage. Emergency supplies of water and food were also in the garage with a washer and dryer; which were operational.

LPA toured client rooms and rooms had clean linens and the required furnishings. LPA inspected the hot water in two of two client bathrooms. The hot water temperature ranged from 113.0 to 115.5 degrees Fahrenheit. Bathrooms were clean and grab bars and non skid flooring were observed. Fire alarms and smoke alarms were inspected and both were operational. A fire extinguisher was charged on November 19, 2025. The facility has not conducted a quarterly fire drill. A deficiency will be cited.