Facility Evaluation Report

On 04/09/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with staff person Jay Baris. Around 1145am during the visit Marievic Dumlao, house manager, arrived to meet with LPA. During today's visit there is one client present and two staff.

LPA was allowed entry into the facility. This is a single story facility. The facility is licensed for ages 18 though 59. All may be non-ambulatory. Facility is cleared for two hospice clients. There are no clients on hospice during today's inspection. The physical plant was toured inside and outside of the facility to ensure the safety of the clients. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer. Medications are observed to be locked in a cabinet as well in the kitchen. Perishable and non-perishable food items are observed as in place. There is an additional freezer in the backyard under a sheltered awning for client frozen supplies. There are additional emergency food supplies in the garage in a cabinet for client and facility use. Cleaning supplies are observed to be locked in a large white storage area in the backyard. First aid kit is observed as complete with required items stored with the medications. LPA observed that there are three fire extinguishers in place last inspected 03/04/2026, smoke detectors, carbon monoxide detectors are observed in place through out the facility, facility smoke detectors are hard wired, and central heating system including AC units and fans in client bedrooms. Fire panel is observed in the garage. Facility is also equipped with fire alarm pull station near the front door. PPE and additional food supplies are observed as in place in storage shed and in the facility.