Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced Annual Required inspection visit on this date. LPA Tea was greeted and granted entry into the facility by Lead DSP Staff Cecilia Timan, who was informed of the purpose of the visit. The facility is licensed to serve six ambulatory clients. At the time of today’s visit, there were two clients residing at the facility.

LPA reviewed two client files and two staff files. Files reviewed contained the required documentation. The Administrator Certificate for Administrator Rafael Torres expired on April 23, 2026. The administrator reported that all required course work has been completed and submitted and is currently pending renewal approval.

LPA Tea, accompanied by staff, conducted a tour of the facility. The physical plant, food service, medication storage, and first aid supplies were inspected. The facility is a single-story home consisting of four client bedrooms, one staff room, two-and-one-half bathrooms, a kitchen, dining room, living room, and attached garage. LPA observed smoke detectors and carbon monoxide detectors located throughout the common areas and bedrooms; however, several devices were found to be non-operational. Client bedrooms were observed to contain the required furniture, adequate bedding, and sufficient closet and drawer space to comfortably accommodate clients in care.

Client bathrooms were inspected. Toilets and faucets were functioning properly, grab bars were secure, and showers were free from mold and mildew. Water temperature measured approximately 105.1 degrees Fahrenheit. Towels, toiletries, and personal hygiene supplies were adequately stocked at the time of inspection. Common areas were observed to be clean, sanitary, and free from obstructions or safety hazards. The first aid kit was inspected and found to contain all required items.

(Continuation of annual report on LIC809C)