Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrators (AD) Lenette Belen and Alma Encelan and discussed the purpose of the visit.

The facility is a one story home with five client bedrooms, one staff room, two client bathrooms, one staff bathroom, kitchen, laundry room, living room, dining room, covered patio and attached two car garage. The facility has four clients in care of which one was seen watching tv upon LPAs arrival. LPA observed the facility to be clean, safe and sanitary. LPA observed the client bedrooms to have all the required components and furnishings. LPA observed the staff bedroom to be unlocked. LPA did not observe any toxins, chemicals or medications in the staff bedroom that are accessible to clients in care. LPA observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day nonperishable food supply on hand. LPA observed the sharps to be stored under the locked kitchen sink and made inaccessible to clients in care. LPA observed the centrally stored medication to be in the locked cabinet next to the fridge and made inaccessible to clients in care. LPA observed the client bathrooms to be stocked with toilet paper, hand dryers and textured shower flooring. LPA tested the water to be between 105.4-105.8 degrees Fahrenheit in the client bathrooms. LPA observed the laundry room to be locked and made inaccessible to clients in care. LPA observed the toxins and chemicals to be stored in the laundry room and made inaccessible to clients in care. LPA observed a clean supply of linens for client use in a cabinet by the laundry room. LPA observed the emergency food and water supply to be stored in the living room in a bin. LPA observed fire extinguishers throughout the facility charged and with a service date of June 3, 2025. LPA observed the garage to be used for extra facility storage. LPA observed the backyard to have a shaded seating area for client use. LPA observed no debris or obstructions in the backyard. LPA and AD tested the carbon monoxide and smoke detectors and they were found to be operational. Continue on LIC809C