Facility Evaluation Report

Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility today to conduct an Annual Required inspection. LPA was greeted and granted entry by staff and explained the reason for the visit.

The facility is a level 4a, three bedroom, single story building with an approved fire clearance of six ambulatory. The facility currently has a census of six clients in care.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and water temperatures. The water temperatures tested at 111.5 degrees. All smoke detectors were operational. The facility’s last fire drill was conducted on August 15th 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed secured medication storage in facility office. LPA observed activities in the form of arts and crafts and listening to music.

LPA reviewed two out of two staff training and fingerprint records. LPA conducted a complete review of client records. LPA confirmed that administrator has a current administrator certificate which expires on May 11, 2027.

Based on the observations made during today’s visit no deficiencies cited on this date. An exit interview was conducted and a copy of this report was provided.