Facility Evaluation Report

On 1/28/2026 at 02:20 PM, Licensing Program Analysts (LPAs) Eldin Serrano and Magda Malcore conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPA was greeted by House Manager (HM) Lisa Rawles and gained access to the home. LPA explained the purpose of the visit to the house manager.

The facility has three (3) bedrooms, one (1) bathroom, kitchen, dining room, living room, no garage, and backyard. The facility is licensed for 4 of which can be ambulatory. LPAs 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 three (3) clients during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPAs inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPAs inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 118.1 degrees Fahrenheit. The facility is equipped with operational smoke detectors and carbon monoxide detectors, charged fire extinguishers, and first aid kit with first aid book. LPAs observed that the facility do not have the updated emergency drill. Technical Violation issued.

Posters such as the personal rights, CCLD complaint poster, and emergency disaster plan were posted in a common area. Client medications were kept in secure cabinets inaccessible to clients. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.