Facility Evaluation Report

On 08/10/2026 at 9:00 AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a 1-Year Annual Required inspection. LPA met with Direct Care Staff, Annabelle Marinas, and explained the purpose of the visit. The Administrator was not available for today’s visit and authorized staff to sign the report.

LPA toured the facility inside and out, including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. The facility consists of 5 bedrooms, of which 4 are occupied by residents, and 1 is occupied by staff. No bodies of water were observed. LPA observed that lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents' shared bathroom was measured at 111 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Centrally stored medication and sharps were locked and inaccessible to residents.

Smoke detectors and carbon monoxide detectors were in operating condition during the visit. The fire extinguisher was last serviced on 3/11/2026. Emergency Disaster Plan was last posted on 05/26/2026. First aid kit was observed to be complete. Emergency disaster drill, including but not limited to fire, earthquake, and power failure, was last conducted on 07/20/2026.

At 9:30 AM, LPA reviewed 4 residents' records. At 10:05 PM, LPA reviewed 4 of 4 residents’ medications. At 11:00 AM, LPA reviewed 4 staff records, and 4 of 4 have current first aid training and are associated with the facility.