Facility Evaluation Report

Licensing Program Analysts (LPA) Nancy Guillen conducted this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by Lead Staff Paul Arcinas after explaining the purpose of the visit. Administrator was not present for the annual inspection. LPA observed Administrator certificate is current with an expiration date of February 26, 2026. This is an Adult Residential Facility licensed for six developmentally disabled adults of which four may be ambulatory and two may be non-ambulatory. Four clients reside at this facility. LPA was informed all four clients were away at their day programs. At the time of visit there were no clients present.

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

This is a two story facility with only the bottom portion available for client use. There are four client bedrooms, one staff room, three bathrooms, two living rooms, a kitchen, laundry room, dining room, and two attached garages. LPA observed required department postings posted on the wall at the entrance of the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishable foods and two days of perishable foods available. There is additional food storage at the end of the hallway in an additional fridge and additional emergency food in a hallway storage closet. The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked storage cabinet located in a hallway closet. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathrooms and LPA measured the hot water temperature which measured 114.9 to 118.7 degrees Fahrenheit.