Facility Evaluation Report

At approximately 10:00AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a Required 1 Year annual inspection and met with Staff Members, Ellen Salazar, Caregivers and explained the purpose of the visit. Jovita Bollisos, Administrator arrived at approximately 10:30AM.

LPA conducted a tour of the facility and observed the following: the facility consists of 4 bedroom and 2 bathrooms. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. There is a sufficient supply of hygiene products, paper products, and linens available for clients use.

LPA reviewed 6 Clients records, which were all complete. LPA reviewed a sample of staff records. LPA reviewed 5 staff files. Staff files were complete. Administrator's Certificate# (6011284740) was current with an expiration date of 10/26/26.

Facility's fire extinguishers were last inspected 7/15/2024. Smoke detectors and carbon monoxide detectors were tested and operational. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility have a surety bond effective 6/1/24 to 6/1/27.