Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Imaculada Vasquez, conducted an unannounced visit to the facility in order to conduct a case management visit. LPAs spoke to Licensee, Mary Martin over the phone during the visit. LPAs conducted interviews, records review and walk through during the time of the visit.

LPAs conducted a health and safety check on clients in care, however no clients were present at the time of the visit. Client was out in the community at the time of the visit. No immediate health or safety issues were observed during the visit, however the following violations were observed as potential risks:

LPAs observed (1) of (4) bedrooms did not have required furniture such as bed, night stand, and working lamp. LPAs observed all (4) rooms had no light bulbs or lighting the rooms. LPAs conducted a records review for client and found the client does not have a current admission agreement, this deficiency was previously cited on 09/29/2025, however the plan of correction has not been received at this time, there a new citation and plan of correction will be issued on this date.

The file review of the facility revealed outstanding annual licensing fees in the amount of $681.00. The licensee agreed to pay the fees by 01/16/2026. An exit interview was conducted where this report, appeal rights, plans of correction, and deficiencies were reviewed with the staff. A copy of this report was provided.