Facility Evaluation Report

On 10/3/2025 at 5:40 PM, Licensing Program Analyst (LPA) A. Gomez conducted a Health & Safety inspection as a result of a report that the facility was without power. LPA met with Backup Administrator, Dayanis Matos and explained the purpose of the visit.

LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Facility was maintained at a comfortable temperature at 71 degrees F. Hot water temperature was measured at 115.4 degrees F in the hallway bathroom. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Facility orders food supplies on a weekly basis. Refrigerator temperature was observed at 40 degrees F. Resident's medications were not locked and LPA observed them unsecured in the refrigerator and kitchen drawer. Observed medications included residents prescription pills in the drawer as well as injectables in the refridgerator. Smoke detectors operational. Carbon monoxide detector observe. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 5/9/2025. There are no accessible bodies of water observed. Indoor and outdoor passageways are free of obstruction.

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.