Facility Evaluation Report

Licensing Program Analyst (LPA) Nancy Guillen is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator (AD) Anil Suresh was notified via telephone and later arrived to assist with the inspection. LPA observed Administrator certificate is current with an expiration date of November 15, 2026 . This is an Adult Residential Facility licensed for four ambulatory clients with four clients currently residing at the facility. LPA was notified that two clients were away at day program and LPA observed two clients present at the facility at the time of visit.

LPA began the tour of the inside and outside of the facility and observed the following:

This is a one story facility with four client bedrooms, two bathrooms, a living room, kitchen, covered patio, dining room, and an attached garage. LPA observed the required department postings posted on the wall in the kitchen. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the garage. LPA observed sharps and knives to be centrally stored and locked in a cabinet in the garage. The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked storage cabinet located in the kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care.