Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted a return visit to continue a Required Annual Inspection that began on 12/10/2025. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager Sara Verastegui.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, of whom all must be ambulatory. Per LPA observation and review of LIC602 Physician’s Reports: During today’s inspection, there were a total of three (3) clients in care, and all were ambulatory. The facility’s license did not include endorsements for delayed-egress doors or secured perimeter doors, and neither of these were present.

LPA interviewed all clients in care. LPA interviewed multiple staff. LPA reviewed care records for clients in care, and personnel files for all currently active staff. LPA, accompanied by the staff, toured the interior and exterior of the facility, and inspected all common areas and client bedrooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens, hygiene, and Personal Protective Equipment (PPE) supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.

The facility’s ambient internal temperature was complaint at 69 F. Refrigerator and freezer used to preserve perishable food were complaint in temperature. There were at least (2) days of perishable food and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present and in good condition. The facility did not have a swimming pool or similar large body of water. [CONTINUED ON LIC 809-C]