Facility Evaluation Report

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

Facility is a single story, 4 bedroom, 2 bathroom house with an attached garage and a white exterior . Facility is licensed for 6 ambulatory clients, only 1 client was present during today's visit.

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 bathrooms. The hot water temperature measured 125 and 126 degrees Fahrenheit with proper signage and all smoke detectors were operational. The facility conducted an emergency drill on 08/10/2025. 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. LPA observed emergency food and water in the laundry room. LPA observed a closet door in Client 1's room that was off the hinge when opened. Review of the emergency plan has not been conducted since 02/12/2024.

LPA reviewed four of four staff training and fingerprint records and conducted a complete review of four out of four clients files. Client 3 did not have an updated needs and services plan or Individual Program Plan. LPA confirmed that administrator has a current administrator certificate which expires on January 21st, 2026.

Based on observations made deficiencies are cited per Title 22. An exit interview was conducted and a copy of this report was provided along with appeal rights were provided.