Facility Evaluation Report

Licensing Program Analysts (LPAs) Samer Haddadin and Claudia Gutierrez conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPAs were greeted and granted entry into the facility by Administrator (AD) Joseph Nassif. The facility is licensed for 6 ambulatory clients. Currently there are 6 clients living in the facility and five out of six were in day program with one client in room during today's visit.

LPAs reviewed three clients’ files and two staff files. Client files and staff files contained all required documentation. Administrator certificate expires on June 15, 2026.

LPAs along with AD toured the facility. LPAs toured the physical plant, checked food service, and the first aid kit. The facility is a one-story home with six client bedrooms, one staff room, and two clients’ bathrooms and one staff restroom.

The facility has a kitchen, dining room, and living room with an attached garage. LPAs observed smoke detectors/carbon monoxide in common areas and bedrooms; all were tested and were 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 in first restroom at 107.2 and 108.8 F degrees in the second restroom. 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 bandages, tweezers, thermometer, and scissors. Kitchen was inspected and LPAs observed the facility had a two-day supply of perishables and a seven-day supply of non-perishable food was available as required by regulations. (CONTINUE LIC809-C)