Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced on 10/24/2025 at facility to conduct an Annual Inspection. LPA was welcomed by DSP Staff who allowed LPA access. Administrator Diane McCart arrived soon after. Administrator showed LPA throughout the facility, which is licensed for 6 ambulatory. There are 4 clients at the facility. Two attend day program and the other 2 clients are in other programs.

The facility has 4 resident bedrooms. There are two bathrooms which were clean and had a supply of soap and paper towels. Toxic cleaning supplies are stored in a locked closet located by the Family Room. Perishable and nonperishable food supplies were sufficient to Title 22 Regulations of 2 days of perishable and 7 days of nonperishable. Knives are kept locked in the office, along with the medications and client records. The kitchen and dining area were organized and free of clutter. The facility was a comfortable temperature of 70 degrees F; clean and well maintained. The re-purposed garage is used for resident activities such as exercise and arts and crafts. The outdoor areas were free of debris. The backyard has a table and umbrella, but is need of new chairs.

The Facility has a multi pull station fire alarm with audible/visual notification. There are 6 operational smoke detectors, one operational carbon monoxide detector and one fire extinguisher which was charged and last serviced on 06/16/2025. The last fire drill was on 09/30/2025.

4 out of 4 client files and 5 staff files were reviewed and found to be complete. Training records reviewed.

There were no deficiencies found at the time of inspection. No citations issued.

Exit interview conducted with Administrator.