Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced Annual Required inspection. LPA Tea was greeted and granted entry by Direct Support Professional (DSP) staff and explained the purpose of the visit. The facility is licensed for 32 clients, of whom six may be non-ambulatory. There were 28 clients present during today's visit. Assistant Administrator (AA) Dennis Mendoza and Secretary (ST) Robert Magno arrived shortly to assist with the inspection.

LPA reviewed four client files and three staff files. All client and staff files contained the required documentation. The Administrator's Certificate is valid through April 3, 2027.

LPA Tea, accompanied by ST Magno, conducted a tour of the facility, including the physical plant, food service areas, and first aid supplies. The facility consists of four residential buildings. The South House accommodates five clients, the Main House accommodates 12 clients, the Back House accommodates three clients, and the Front House accommodates 10 clients. An additional building on the premises is used for food storage and serves as a recreational room for clients and staff.

The facility's fire alarm system is monitored by a third-party company and was last inspected on June 25, 2026. Resident bedrooms contained the required furniture, clean linens, and adequate closet and drawer space. Client bathrooms were inspected and found to be clean and in good repair. Toilets and faucets were operational, grab bars were securely installed, and showers were free of mold and mildew. Hot water temperatures measured between 100°F and 114.4°F. The Front House had the lowest water temperature.

( Continuation of annual report on LIC809C )