Routine inspection·February 5, 2026

On 02/05/26 Licensing Program Analyst (LPA) Toni Nwala and Seo Jeon arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by Executive Director Cheree Escandel who was informed of the purpose of the visit. During the annual visit, LPA was informed that 67 clients live at this facility. There are 38 staff members that work at the facility. The Executive Director, Cheree Escandel conducted and completed the facility tour. LPA toured the facility inside and outside. LPA observed the facility to be clean and furniture in the facility was in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. The facility has two (2) Laundry rooms. There is a locked cabinet for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There is a secured and gated pool at the facility. LPA observed emergency supplies and first aid with the required components. LPA reviewed six (6) resident files. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, and personal rights notification. Continued on LIC809-C..... LPA reviewed six (6) staff files. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. LPA toured the facility restaurant and kitchen. LPA observed that Food prep areas were clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for sharps in the kitchen. The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. Facility conducts the Emergency Fire Drill on a monthly basis; last Emergency drill was conducted on 1/29/2026. The Annual Fire Safety inspection was conducted on 04/08/2025. During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided.