Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrators (AD) Henry Balanza and Merida Balanza. The facility is licensed for 4 ambulatory clients. Currently there are 4 clients living here during today's visit.

At 9:00 AM, LPA Tea reviewed four client files and two staff files. Client files and staff files contained all required documentation. The administrator certificate expires on December 18, 2026.

LPA Tea along with the administrator toured the facility at 10:00 AM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one-story home with five client bedrooms, one staff room, and two bathrooms. The facility has a kitchen, dining room, and living room, and a small family room, and garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured around 115.5 Fahrenheit degrees. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including dressings, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit.

LPA observed sharps stored and locked underneath the kitchen sink in a separate container. LPA also observed toxin substances to be secured and locked underneath the kitchen sink. The fire extinguisher in the kitchen is fully charged. The facility’s last fire drill was conducted on March 1, 2025. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade. There is a walking path in the backyard that the administrator constructed for clients to walk and ride their