Facility Evaluation Report

Licensing Program Analyst (LPA) Sommer Hayes arrived unannounced to conduct a Required - 1 Year visit on 6/12/25 at 9:00am. LPA Hayes met with Designated Facility Administrator (DFA) Kassandra Magdaleno and stated the purpose of today’s visit. The facility is licensed for a capacity of 4 ambulatory residents. The current census is 3. LPA toured with the DFA and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed 2-day perishables and 7-day non-perishables.

The temperature inside the facility was observed to be at 68 degrees F which is within the required range of 68-85 F. The hot water temperature was measured at 110.4 F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility.

LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and a guide.

LPA reviewed 3 client records and 2 staff records, which were all found to be well organized, thorough and contained the required documentation.

The garage is accessible to clients with supervision. There was an outdoor refrigerator, activities for clients and locked cabinets for storage.