Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual required inspection at the above-named facility. Upon arrival, LPA was greeted by Monica Gomez, Clinical Case Manager and explained the purpose of the visit. Sydney Steiner, Program Manager accompanied LPA during the visit. Jennifer Farley, Program Director was unavailable at the time of the visit. LPA explained the purpose of the visit. There are currently fifteen (15) clients residing in the facility. At the time of arrival, there were eight (8) clients present with five (5) staff on duty. Clients not present were attending day programs and/or appointments away from the facility.

The facility is a one-story home to Clients with intellectual/developmental disabilities, has a fire clearance for 15 non-ambulatory clients and a hospice waiver for 2 clients. There is one resident currently on hospice. The facility contracts with Tri-Counties Regional Center.

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 physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. At approximately 2:25 pm, LPA observed approximately 22 areas throughout the facility in need of patching and painting. Said areas included hallways, door jams, and other areas.

LPA observed four (4) fire extinguishers serviced on 3/14/2026 and 4/27/2026, two (2) carbon monoxide detectors in good working order, 27 smoke alarms, and an automatic sprinkler system throughout the building.