Facility Evaluation Report

On 06/23/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Licensee Augusta Nkwocha and explained the purpose of the visit. The purpose of the visit was to conduct an annual visit.

Current census was 4. 1 out 4 residents were out at their respective day program.

This facility is licensed to serve 4 residents, of which 1 may be non-ambulatory. This facility is also vendorized by Valley Mountain Regional Center to accept and retain Level 6 residents at this time.

LPA reviewed resident files and staff files which were all complete and up to date. The Facility Designated Administrator has an active administrator certificate #7036241735 and expires on 10/26/2027.

The fire extinguisher, located in the front hallway, was serviced by Fire Code on 04/16/2026. All smoke detectors were present and working at this time.

Four resident bedrooms were toured. Furniture and furnishing were observed to be present and in good condition. An office was toured and was observed to be in good repair.

Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

A linen closet was located in the hallway. LPA observed a sufficient amount of linens at this time.

A tour of the bathrooms was conducted. Hot water temperatures were taken to ensure that the hot water being dispensed was within the allowed range of 105-120 degrees at all times.

The kitchen area was toured. Facility freezer and refrigerator showed to be functional and in compliance at this time. LPA observed that there was a sufficient amount of 2-day perishable and 7-day nonperishable food supplies available at this time.

Garage area was toured. LPA observed a refrigerator which will store additional food supplies. Additional storage for supplies were stored in cabinets.