Facility Evaluation Report

At approximately 9:50 AM Licensing Program Analyst (LPA), Star Stevenson arrived unannounced to conduct a required 1-Year Annual inspection. LPA was greeted by Administrator Lourdes V Soller.

At approximately 10:00 AM LPA and Lourdes Soller toured the facility. LPA observed the facility to be clean, without odors and all exits free from obstruction. Fire Extinguisher was found to be last charged on March 2026. All combination smoke and carbon monoxide detectors were tested and found to be operational and centrally wired. In addition the facility has a number of individual redundant carbon monoxide detectors in each client's rooms. Last Fire/Emergency Drill was conducted for all shifts on 04/07/2026. Hot water temperature measured at 106.2 degrees F in two (2) of 2 client bathrooms, which is within acceptable range of 105-120 degrees. Hazardous items and toxins are kept locked in the garage and/or drawers and are inaccessible to clients in care.

Sample food menu was observed as well as large activity/schedule calendar. LPA observed sufficient perishable and non-perishable foods located in the refrigerator and pantry. Leftover foods/meats were noted to be labeled with the date they were removed from commercial packaging.

LPA noted ample supply of personal hygiene products, bedding and linens, utensils, dishes, and cook ware.

Facility was observed to have emergency generator, extra water, go emergency bags for each client, large and multiple smaller 1st aid kits. Clients have a treadmill, corn hole, TV, games, shaded and sun areas available to them.