Facility Evaluation Report

10/09/2025 09:50 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with staff Maria Ruiz and Reyna Caudillo and explained the purpose of the visit. Administrator Nora Serrano # 7002659735 exp.12/22/2025 arrived later during the visit.

LPA Knight and staff toured the facility together to ensure the health and safety of clients in care. Areas toured include but are not limited to four (4) client rooms, common areas, three (3) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. All employees requiring background checks are cleared. Medication was reviewed. Medication is locked in a cabinet.

Activities are planned on a calendar and clients are also assisted with individual and group activities of their choice. All clients attend their respective day programs.

The facility was observed to be at a comfortable temperature. Common area, kitchen, and bathrooms were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bedding, linens, and towels for clients were observed and found to be clean and in good repair. Food appears to be stored and prepared properly. There is an adequate supply of toiletries for the clients. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Fire extinguishers fully charged and inspected. Smoke detectors are all operational. No pools/bodies of water are on premises. Last disaster drill was conducted in June 2025. The facility has been conducting monthly fire drills.

LPA requested the following documents to update the facility file: LIC500 Personnel report, LIC610D Emergency Disaster Plan.

No deficiencies are being cited as a result of today's inspection. Exit interview conducted and copy of report was provided to administrator Nora Serrano.