Facility Evaluation Report

On July 29, 2025, at 2:00pm, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced

required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was

greeted and granted entry into the facility by Direct Support Staff (DSP) Nancy Orozco, Alicia Torres, and Roberta Grande and explained the reason for the visit. The Administrator (AD), Mariles Borja and Assistant Administrator (AA) Dennis Mendoza arrived shortly after to assist during the visit. AD Mariles Borja has an Administrator certificate that expires on April 03, 2025.

The facility is licensed for thirty-two (32) clients, six (6) clients may be non-ambulatory. Currently there are twenty-nine (29) clients on census during today's visit. Around 8:30 am, LPA Bentley toured the facility with DSP staff Nancy Orozco and AA Mendoza, later joined to complete the tour. LPA toured the physical plant, checked food service, and the first aid kit. The facility consists of four (4) residential buildings. Five (5) clients reside in The South House, twelve (12) clients reside in The Main House, nine (9) clients reside in The Front House, and three (3) clients reside in The Back House. There is another additional unit on the facility premises that stores the facility food items and the other part is the recreational room for staff and clients.

LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. First aid kits had all the required elements including tweezers, thermometer, scissors, and manual. Kitchen was inspected.