Facility Evaluation Report

On 08/25/2025 at 8:28am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Nicholas Ordonez, Administrator at 10:00am and the purpose of today’s visit was explained. The facility is licensed to operate for (3) ambulatory, (1) non-ambulatory(developmentally disabled) adults ages 18 through 59. The facility has four (4) clients from Harbor Regional Center. None the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices.

The facility has a current administrator certificate 7002425735 for Nicholas Ordonez application received 01/24/2024. The facility fees are current. The facility has liability insurance with Philadelphia Insurance Co with each occurrence at $1,000,000 and general aggregate at $1,000,000 (policy # PHPK2634053-015) effective date 02/01/2025 - 02/01/2026.

The facility is a single story home located in a residential neighborhood. The property consists of the following: 4 client bedrooms, 2 common bathrooms, an office area, living room, a sitting area, a kitchen, a dining room, attached garage which houses a washer and dryer.

Between the hours of 8:42am - 10:15am, LPA conducted a records review of (4) client records, (5) staff records, (3) clients Personal & Incidental Records and reviewed the facility disaster plan. The facility disaster plan was current and in compliance with Title 22 at the time of visit. Between the hours of 9:12am - 9:30am, LPA reviewed (3) Client Medication Administrations Records and did not observed any discrepancies at the time of visit.