Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.

The facility is licensed for four (4) non-ambulatory clients. The facility has a current census of 3 clients with only 1 client present when LPA Mendivil arrived.

This is a single story home with an attached garage. The facility has five bedrooms ( 4 client rooms and 1 staff room) with 2 bathrooms.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and testing hot water temperature in the bathrooms. The hot water temperature measured 114 and 115.8 degrees Fahrenheit and all smoke detectors were operational. The facility conducted an emergency drill on 7/12/2025. 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 hallway closet. LPA observed emergency food and water in a closet in the entryway of the facility.

LPA reviewed three of three staff training and fingerprint records and conducted a complete review of three out of three client files. LPA confirmed that administrator has a current administrator certificate which expires on 08/31/2026.

Based on observations no deficiencies noted. An exit interview was conducted and a copy of this report was provided.