Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself and was granted entry and met with Administrator, Maribel Nambo Onofre whom was explained the purpose of the visit. The facility is licensed to forty-five (45) developmentally disabled adults ages 18 and above; fifteen (15) of whom may be non-ambulatory.

During today's visit LPA conducted a general overall inspection however, due to time constraints LPA was unable to complete the visit and will return at a later date to conduct the remaining portion of this inspection.

Based on today's inspection there are no deficiencies observed at this time in the areas evaluated. An exit interview was conducted, this report was discussed with Administrator, Maribel Nambo Onofre and a copy along with Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges receipt and a copy of the report was given to the Administrator, Maribel Nambo Onofre.