Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. Upon arrival, LPA was greeted by Ashley Holmes, Administrator. LPA explained the purpose of the visit.

The facility is a one-story home for adults with disabilities located in a residential area. The facility maintains a contract with Tri-Counties Regional Center.

There are currently four residents residing in the facility. At the time of arrival, two residents were out in the community, one resident was working in an adult day program, and one resident is currently placed in a skilled nursing facility and will return to this facility upon discharge.

A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the one story facility for fire safety, personal accommodations, and food service.

The facility consists of a kitchen, dining area, living room, staff room, garage area, and an outdoor patio area. The recycling bin, green waste bin, and trash bins are standard bins with flip lids.

The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors, and floor coverings were checked. The facility was seen to be in good repair inside and outside. Fire inspection was last conducted on 7/24/2024. One carbon monoxide detector and four smoke alarms were in good working order.

The kitchen area was sufficiently stocked with at least two days of perishables and seven days of non-perishables. LPA observed the kitchen cabinets, refrigerator, stove, and counters are clean.

Residents participate at will in activities such as meal preparations, Special Olympics, church activities, social gatherings, Best Buddies, holiday and birthday celebrations, and frequenting local eateries and retail businesses.