Facility Evaluation Report

At 09:30 a.m. Licensing Program Analysts (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual. The LPA was greeted by Administrator Benjamin G. Abutin and informed them of the reason for the visit.

At 09:45 a.m., the LPA conducted a tour of the physical plant with the Administrator to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of three (3) client bedrooms, one (1) staff room and two (2) bathrooms which one is for the clients. The home is vendored by Tri-Counties Regional Center as a level 4-I home. The LPA observed a fire extinguisher at the facility, which was fully charged and last serviced 06/4/2025. The home has hard wired smoke alarms detectors which were tested and operable as well as a carbon monoxide detector. LPA observed all required postings in the entrance of the facility.

Kitchen: During the facility tour the kitchen appeared clean and the appliances and fixtures functional. The LPA observed a sufficient supply of perishable and non-perishable food at the facility; Sharp objects are stored in a locked cabinet and cleaning supplies are stored in a locked cabinet in the laundry room. Snacks and beverages are always available for residents. The water temperature in the kitchen was measured at 109.5 degrees Fahrenheit.

Bedrooms: The LPA observed all client bedrooms properly furnished with at least one chair, night stand and sufficient lighting for each client. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets.

Report will continue on LIC809-C, 2nd page.