Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with staff, Hazel Natividad, and Cornellia Xayphone. Administrator Annedreah Santiago was contacted and arrived around 02:15 pm. LPA observed (1) client present at the start of the inspection and was advised (2) clients were attending day program returned around 2:30 pm. (1) client left around 3:00 pm, and (1) client will return later from day program.

LPA and the Administrator toured the interior/exterior of the facility including the common areas, (4) client bedrooms, (2) bathrooms, kitchen, laundry, and garage area. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. Alll client bedrooms are fully furnished, and there are locks on each resident room door. Clients keep their own key, and staff have spares for emergencies. Auditory alerts on all exit doors, and there are no blockages. LPA observed sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. The inside temperature measured 71*F, and the hot water temperature measured 121*F in the kitchen- sign to be posted. Sharps, toxins and medications are locked in the kitchen and additional toxins are locked in the laundry area. The fire extinguisher was last serviced 3/2/26, and the smoke/monoxide alarms are working. The fire place is screened but not used. There is a complete First Aid Kit. There is (1) unlocked exit gate and covered patio seating. Required postings are visible in the common area , including the facility sketch, Personal Rights, and activity calendar. Clients assist with laundry, chores, cooking and with planning activities.

LPA reviewed (2) client files. Files were organized and contained current documentation. P&I is not managed for any clients currently. Medications were checked for (2) clients- no discrepancies noted. (7) staff files were reviewed. All staff are cleared/associated and have completed required training. ARF Cert #7019629735- exp 7/2/2027. There were no deficiencies observed. Exit interview. Copy of report provided to the Administrator.