Facility Evaluation Report

On 09/03/25 Licensing Program Analyst (LPA) Javina George made visit to conduct a 1 year required inspection. LPA was greeted and granted entry by Direct Care Staff Ferdinand Jerez, where LPA explained the purpose of the visit. At the time of the visit there was (1) staff and (0) clients present as they were all at the day program. Below are the observations made during today's inspection:

The are a total of (6) bedrooms of which 2 bedrooms are for live in caregivers. The governing body was observed to be in good standing, and the facility annual fees that were due on 09/30/25 have been paid. LPA verified facility contact information with no changes needed.

The facility was observed to be clean, with the passageways being free of any obstructions. The facility was observed to have an adequate linen, and personal hygiene supply for client use. The chemicals, sharps and other hazardous items were locked and inaccessible to clients in care. The medications were reviewed and are being given as prescribed, as evidenced by the medication Authorization record (MAR). The hot water was tested and was found to be within regulatory limits measuring at 105.8 degrees Fahrenheit.

The cover/lid at the top of the toilet was observed to have been replaced with a temporary wood lid/cover, due to client having a behavior resulting in a replacement being ordered, but it did not match, therefore it was returned and a new one is being sent. The facility was observed to have fire extinguishers fully charged, that were last serviced on 08/22/25. The smoke and carbon monoxide detectors were tested and observed to be operable. There are no known guns, ammunition, pools or bodies of water, on the premises. The last emergency disaster drill was conducted on 07/01/25, with the next one being due in October 2025.