Facility Evaluation Report

Licensing Program Analyst Shawna Doucette (LPA) arrived at the facility unannounced to conduct a Required Annual inspection. LPA was granted entry by House Manager Alyssa Martinez. LPA was met with Administrator Eesaeng Martinez.

LPA conducted a tour inside and outside of facility. Facility observed to be clean, and at a comfortable temperature. Common areas were furnished well with adequate seating and lighting available. Kitchen toured, appeared clean and safe for food preparation. Food supply checked, LPA observed an adequate supply of food. Resident rooms checked. LPA observed an adequate supply of linen. Hot water measured at 120 degrees F. Facility was set at 71 F. Exterior tour conducted, all exits open and free of obstructions. Side gate was observed to be self-latching.

Fire extinguisher serviced on 03/10/2025. Smoke detectors and carbon monoxide detectors observed operational during today’s inspection. Last fire drill conducted 04/6/2025. All cleaning supplies are locked and secured in a hallway closet. Medications were locked in a cabinet.

LPA reviewed staff and client files. Medications were reviewed. Centrally stored log was complete.

An exit interview was conducted with the Administrator and a copy of this report was provided.