Facility Evaluation Report

At approximately 1:00 PM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a required 1-year annual inspection and was greeted by caregiver Josefina Ebalan. Administrator Elaine Villalobos was called and arrived at approximately 1:20 PM. Facility is an Adult Residential Facility with Ambulatory Developmentally Disabled Clients in care. LPA was informed that there are 6-clients in care; 5-clients were away at Day Program, and 1-client were present during visit.

At approximately 1:25 PM, LPA initiated a tour of the facility with administrator and observed the following: Facility is a one-story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and one week of non-perishable foods. Medications were centrally stored and locked.

Facility's 3 fire extinguishers were observed charged and were last serviced April 2025. Smoke and Carbon Monoxide detectors were tested and operational during inspection