Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted Required- 1 Year inspection, on 7/22/25 at approximately 2:40pm, and met with Margo Rooney, Licensee/Administrator. Licensee has four (4) clients residing in the home.

Facility has a fire clearance for six(6) ambulatory. Facility has a required infection control plan. Facility has a required emergency disaster plan.

All twelve(12) smoke alarms were working properly when checked during the inspection; The facility has two(2) smoke alarms that are also carbon monoxide detectors. Fire extinguishers, three(3) were all serviced and tagged as required. All exits were free and clear of obstructions.

LPA reviewed four (4) staff files. All staff have criminal record clearance as required. All staff have first aid CPR certification. LPA reviewed staff straining.

LPA toured the facility with the Administrator. LPA observed a sufficient food supply. There was a sufficient supply of linens, paper products, hygiene products, cleaners/disinfectants, and personal protective equipment (PPE). All resident rooms, hallways, bathrooms, and common areas had sufficient lighting for clients use.