Facility Evaluation Report

On 11/18/2025, Licensing Program Analyst (LPA) J. Duarte and J. Leffall, arrived unannounced to conduct required Annual inspection. LPAs introduced self, stated the purpose of the visit, and was greeted by staff Patricia Arreguin. LPA J. Duarte contacted Licensee, Jason Johnson via telephone and advised of today's visit. Licensee Jason stated that Administrator Diana Diaz will assist with this visit. Administrator Diana Diaz arrived shortly after and a tour was conducted.

The facility was observed to be at a temperature of 74 degrees F, clean, in good repair, and no passageway obstructions were observed. The living room has sufficient seating for residents. The kitchen was toured and LPA observed a two-day supply of perishable and seven-day non-perishable food. The facility stores kitchen knives in a locked hallway closet. A fire extinguisher was observed in the kitchen, with a service date of 05/23/25.

All bedrooms were toured and observed to have the required furniture and adequate lighting. Bathrooms were observed operational, with non-skid strips and grabbed bars observed for the showers and toilets. The hallway restroom hot water measured at 108.3 degrees F and the hot water to the restroom connected to the room measured at 107.4 degrees F.

Chemicals were observed stored and locked in the garage. The facility has a dryer and washer in the garage. The facility has an additional garage and freezer in the garage with an additional food supply. Outside of the facility toured and observed to be free of debris.

The carbon monoxide/smoke detector was observed operational during inspection. Medications observed kept locked in facility office. Medications were reviewed along with MARS and observed to be administered as prescribed. A first aid kit is also stored in a hallway closet. The last fire drill was conducted on 11/6/2025, per staff records. A sample of resident files and staff files were also reviewed and observed to have required documentation.