Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by Staff Viri Guzman. Staff contacted House Manager Henry Villegas, who responded to assist with the visit. LPA contacted Administrator Beatrice Villegas who gave permission for House Manager Henry Villegas to sign for this report.

A tour of the facility was conducted. The residence was set at 76 F temperature and free of passageway obstructions inside and outside.

LPA Doucette observed 4 bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean. Hot water temperature was measured 108.1 F.

Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Knives were stored in a locked drawer. Medications were stored in a locked cabinet in the kitchen. Cleaning supplies were in a locked cabinet in the carport and in the bathroom. Smoke detectors and carbon monoxide detectors were checked and operating. Fire extinguishers were charged and had service dates of 11/20/24. Fire drill was last completed on 07/07/25. Facility has a pull station fire alarm. Facility has a sprinkler system.

LPA observed a self latching gate on the outside of the residence.

Resident, medication and staff records were reviewed and found to be complete. Current first aid and CPR were on file for staff.

An exit interview was conducted and a copy of this report was provided.