Facility Evaluation Report

On 01/05/2026 at 2:30 PM, Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection. LPA was greeted by a staff and gained access to the home. LPA explained the purpose of the visit to Direct Service Professional (DSP), Austin Cutshall.

The facility has five (5) bedrooms, three (3) bathrooms, kitchen, dining room, living room, attached three (3) garage, and backyard. The facility is vendorized by Inland Regional Center (IRC). LPA completed a walk through of the facility, review of records, medications audit and Personal and Incidentals (P&I).

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA observed three (3) client during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 114 degrees Fahrenheit. The facility is equipped with operational smoke detectors, three (3) carbon monoxide detectors, two (2) charged fire extinguishers, and first aid kit with first aid book.

Posters such as; the personal rights, CCLD complaint poster, labor laws, and emergency disaster plan were posted in a common area. Client medications were kept in a lock box in the pantry closet in the kitchen,

inaccessible to clients in care. LPA observed overhead lights in the hallway leading to shared bathroom. Administrator will provide nightlights for the bathroom. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.