Facility Evaluation Report

On 12/9/25, Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an annual visit.

LPA introduce self, stated the purpose of the visit and met Staff (S1) Roxana Benitez and greeted upon arrival. Administrator Martha Vasquez (A1) arrived shortly after arrival. 6 clients were present during inspection.

LPA toured the facility with S1. The facility was observed to be at a comfortable temperature, clean, in good repair,

and no passageway, obstructions or fire hazards were observed inside or outside. An adequate supply of perishable and non-perishable food was observed. Fire extinguisher was observed with a purchase date of 12/18/24. Fire drill

last completed: 12/1/25. The temperature is maintained for refrigerator at 35 degrees F and freezer at 0

degrees F. Medications observed locked in locked cabinet. MARs were reviewed. Cleaning supplies and chemicals stored and in storage cabinet.

All bedrooms were observed to have the required furnishings and with adequate lightening. The bathrooms were toured. Bathrooms were observed operational during inspection. Hot water temperature was tested at 108.6 degrees F in the bathroom 1 and 109.2 degrees F in bathroom 2. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Swimming pool observed locked and inaccessible to clients. Adequate outdoor seatings available for clients. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files were reviewed to have all the required documents. Staff files were also reviewed to have all required documents. All client files reviewed to have all of the required documents.

Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 12/23/25. Forms requested: Lic 308, Lic 309, Lic 500, Lic 610D, Lic 9282, current Administrator certificate, and control of property. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.