Facility Evaluation Report

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with House Manager Justin Mendoza.

According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom 6 may be non-ambulatory. During today’s inspection, there were no clients in care. This facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Administrator Von Rivera, toured the interior and exterior of the facility, and inspected each room. The facility is under interior renovation No pools or bodies of water were observed on the premises. Per the Administrator Von Rivera , no firearms or ammunition are kept at the facility. All smoke alarms are working. All sharp objects, toxic chemicals/poisons were locked in one room. There are no fireplaces, or open-faced heaters observed.

No deficiencies were observed or cited during today's annual inspection.

An exit interview was conducted with Justin Mendoza,to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.