Facility Evaluation Report

On 5/23/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Timothy Selburn who was informed of the purpose of the visit. Licensee, Shane Selburn and House Manager, Vinnie Cordova arrived during the visit. LPA was informed five (5) of six (6) clients were attending day program. The facility has a fire clearance for six (6) ambulatory clients and serves adults ages 18 through 59.

LPA toured the facility and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with six (6) client bedrooms, two (2) bathrooms, two (2) living rooms, a dining room, staff office, and attached garage. Client bedrooms had the required furniture and lighting. Indoor and outdoor pathways are free of obstructions. The facility has a small in-ground pond in the backyard that is fenced and secured with a master lock. Outdoor shaded seating area is available for the clients in care. LPA toured the kitchen and observed the facility has more than a two-day supply of perishable foods and seven-day supply of non-perishable foods, which are stored in a safe and healthful manner. The facility has a second refrigerator with food along with an additional supply of perishables foods stored in the garage, which is accessible to clients in care. Cleaning solutions and disinfectants are secured in a locked cabinet in the garage. LPA observed an operable laundry washer and dryer. Licensee tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility. Medications are secured in a locked cabinet stored in the office. LPA reviewed the Medication Administration Record for two (2) clients along with their physical medications and no discrepancies were discovered. LPA reviewed the Record Of Client's/Resident's Safeguarded Cash Resources (LIC 405) for all six (6) clients while licensee reviewed their physical monies and no discrepancies were discovered. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Licensee.