Facility Evaluation Report

On 7/23/2026 at 9:00am Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit. LPA met with Administrator, Jessica Licup and explained the purpose of the visit. The facility's fire clearance was approved for all may be non-ambulatory

LPA toured the facility with Caregiver including but not limited to the bedrooms, bathrooms, kitchen, common areas, and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.8 degrees F. Residents’ shared bathroom is equipped with grab bars.Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 05/1/2026. Emergency Disaster Plan last updated 5/1/2026. Fire drill was last conducted on 05/2/2026. First aid kit was observed complete.

Updated copies of the following documents were requested for facility file and are to be mailed to CCL by 8/1/1015:

LIC 308 Designation of Administrative Responsibility

LPA reviewed 3 staff records and 3 of 3 staff are associated and have first-aid training. LPA reviewed 4 resident records.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.