Facility Evaluation Report

On 6/8/2026 at 08:40 AM, Licensing Program Analyst (LPA) Eldin Serrano conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection. LPA was greeted by Administrator Debbie Vickers and gained access to the home. LPA explained the purpose of the visit to the Administrator.

The facility has four (4) bedrooms, two and half (2.5) bathrooms, kitchen, dining room, living room, attached garage, and backyard. The facility is licensed for 6 of which can be ambulatory. LPA completed a walkthrough of the facility, review of records, Personal and Incidental (P&I) and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA observed no client during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, storage space, chairs, and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors and carbon monoxide detectors, and first aid kit with first aid book.

Posters such as the personal rights, CCLD complaint poster, and emergency disaster plan were posted in a common area. Facility does not have an updated emergency disaster plan. Technical violation (TV) issue Client medications were kept in secure cabinets inaccessible to clients. There are no firearms and ammunition in the facility.