Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso conducted Required- 1 Year inspection, on 4/23/2026 at approximately 9:40am, and met with Lead staff Ashlyn Poplin. Licensee/Administrator Pia Baroni was not available due to being out of town. Ashlyn is planning to take the administrator exam soon, and an assistant staff to Licensee, as well as a caregiver.

Facility has a fire clearance for five (5) ambulatory adults. Facility has a required infection control plan. Facility has a required emergency disaster plan.

Fire extinguishers, xxx, were serviced and tagged as required. All exits were free and clear of obstructions.

LPA reviewed four (4) resident files. Files were complete.

LPA reviewed five (5) staff files. All staff have criminal record clearance as required. Staff had required first aid certification and CPR certification. Staff have annual training, per file reviews.

LPA toured the facility with Ashlyn, Lead staff. Hot water was measured at 112. degrees Fahrenheit. There was a sufficient supply of food.There was a sufficient supply of cleaners/disinfectants, soaps, hygiene items, paper products, linens, and furnishings for resident use. The house was at a comfortable temperature. Facility had a supply of emergency food and water as required. All medications were locked up and inaccessible to residents in care. All cleaners/disinfectants were locked up and inaccessible to residents in care.