Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with House Manager, Jhanell Edmalin. Annual fees are current. Required postings were observed.

LPA/staff initiated a tour the inside and outside of the facility at 11:15 am and made the following observations: Facility was a comfortable temperature, passageway were free from obstructions, client's bedrooms were furnished per regulation with chair, lamp, table and closet. Bathrooms have slip mats, grab bars, garbage cans have a cover lid. Water temperatures in client bathrooms read 112.3 and 112.4 which are within regulation. Toxins are located in a cabinet in the garage and knives were found locked in the kitchen. There was emergency supply and water for all residents for 72 hours. At least two days of perishable and one week of non-perishable food was available. The facility has a generator.

At approximately 11:35am, LPA/staff observed food leftover containers in the refrigerator were not labeled and stored appropriately in order to prevent them from potential contamination.

Medication is centrally stored and locked in a cabinet in the kitchen. Fire extinguishers were last inspected on July, 2025. Smoke detectors located throughout the facility and the carbon monoxide detector were tested and operational during inspection. Disaster drill was conducted on 12/3/25.

LPA initiated file review at 11:45 am. Four client files and three staff files were reviewed. First Aid certificates and training hours for staff are current. Client's weight records were reviewed. Administrator Certificate for Administrator Benjamin Cabie, 7008196735, expires on 5/30/27. Continued on LIC809C...