Facility Evaluation Report

On October 1, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Residential Supervisor (RS) Jenna Ortiz was notified via telephone and later arrived to assist with the inspection.

The facility is a Social Rehabilitation Facility (SRF) licensed for six ambulatory clients. The facility is a single story home with three shared client bedrooms, five bathrooms, a living room, a dining room, a kitchen, two staff offices, a group room, a medication room, a laundry room, an attached three car garage, and has a pool house in the backyard. LPA, accompanied by the RS, conducted a tour of the interior portions of the facility. On today's visit, LPA observed six clients in care. LPA observed clients relaxing in their respective bedrooms and participating in therapy sessions. LPA inspected the three shared client bedrooms and observed them to be free of hazards. LPA observed client bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed client beds to have clean linens and blankets. LPA observed additional linens to be stored in the laundry room. LPA inspected the client bathrooms and observed them to be clean. Faucets and toilets were operational. Hot water temperature measured between 110.3 and 116.6 degrees Fahrenheit.

LPA observed the kitchen has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed the facility has a three day emergency food and water supply stored in a pantry by the kitchen. CONTINUED ON LIC809-C