Facility Evaluation Report

On 3/4/2025, Licensing Program Analyst (LPA) Arvin Villanueva arrived to this facility unannounced to conduct their required annual inspection visit. LPA met with facility house manager, Rona Agoncillo (S1), and explained purpose of visit. The facility administrator was notified of this visit and gave permission for Rona to sign this report. Present during today's visit were 3 client in care with 3 staff on duty. Administrator renewed his Administrator Certificate on 9/12/2024.

LPA and S1 inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, and outside backyard. Facility is a one story home located in a residential neighborhood, with 4 bedrooms and 2 bathrooms. The facility serves adult residents with developmental/intellectual disabilities.

LPA observed room temperature at 72 degrees Fahrenheit. LPA observed sufficient furniture and lighting throughout the facility. LPA observed food supplies of at least 7-day non-perishable and 2-day perishable. LPA measured the hot water temperature in resident's bathroom at 110 degrees Fahrenheit which is within regulatory range. Refrigerator and freezer temperatures were within regulatory range.

Fire extinguishers last inspected on 12/12/2024. Smoke detectors and carbon monoxide detectors were tested and found to be in good working condition. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared 1 resident medication vs. medication logs. First aid kit was checked and is complete. The facility conducts fire drills with residents on a monthly basis. Last fire drill was conducted on 2/18/25. Facility also conducts semi-annual disaster drill and last disaster drill was on 12/31/24.