Facility Evaluation Report

At approximately 8:40 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year inspection and was greeted by Administrator Nayley Jimenez. Utulivu Home is Licensed as an Adult Residential Facility - Enhanced Behavioral Supports Home (ARF-EBSH). The facility is a single story ranch house with a large back yard and garden area. There is a separate single room building at the rear of the facility that serves as a Sensory Room. The facility has an approved fire clearance for three (3) non-ambulatory Clients between the ages of eighteen (18) and fifty-nine (59). Upon arrival, LPA was informed that there were three (3) clients in care. At approximately 8:55 AM, LPA reviewed the Facility's Staff Roster and observed that all staff on-site were background cleared and associated to the facility per regulation.

At approximately 9:15 AM, LPA toured the facility with Administrator Jimenez. All exits were clear and unobstructed. The facility's two (2) fire extinguishers were charged but they did not have last serviced tags attached to them. A Technical Violation is being issued for the extinguishers not having an annual inspection. The facility's fire sprinkler system and fire alarm system was inspected in 7/2025. The facility was sufficiently lighted. LPA inspected two (2) client bedrooms and observed all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for clients. Toxins were observed to be stored inaccessible to clients. The facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills monthly. The last disaster drill was conducted on 4/19/2026. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were observed to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were observed to be operational. Continued on 809-C...