Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual visit. Upon arrival, LPA was granted entry and met with Care Staff Nora De Leon. The purpose of the visit was explained. The facility is a one-story home consisting of six bedrooms and two bathrooms, with an attached garage currently used for storage. LPA toured the facility and inspected all client bedrooms, each of which contained the required furnishings and elements. Both bathrooms were inspected and found to be clean, functional, and equipped with all required supplies. No mold or mildew was observed. Hot water was tested and measured within the regulatory range. At the time of the visit, three clients were in care. Knives, sharps, and cleaning chemicals were stored securely and were inaccessible to clients. Fire extinguishers were observed on site with the last inspection date of October 24, 2024. A review of two client files and two staff files revealed that all required documentation was present. Records showed the last emergency drill was conducted on September 5, 2025. The facility maintained sufficient food supplies, including a two-day supply of perishable items and a seven-day supply of nonperishable items, in accordance with regulations. The outdoor area included a shaded seating space with one table and four chairs available for client use. All emergency exits were clear and free from obstruction. No deficiencies were observed during the inspection. An exit interview was conducted, and a copy of this report was provided to the care staff at the conclusion of the visit .