Facility Evaluation Report

On 11/13/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Marjorie Osia and explained the purpose of the visit. The facility's fire clearance is approved for all residents may be non-ambulatory.

LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area 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 70 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 109.5 degrees F. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods.

LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last serviced on 10/15/2025 . Emergency Disaster Plan was posted on 10/3/2025. First aid kit was observed to be complete. Fire drill was last conducted on 9/20/2025 .

LPA reviewed 3 staff records and 3 of 3 are associated. LPA reviewed 6 residents records 6 of 6 residents have appraisals of needs and services.

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