Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera made an unannounced Case Management visit to the facility. LPA met with Administrator Gemma Deoso and explained the reason for the visit.

On 9/23/25 the department received an Incident Report date 9/20/25 revealing that on 9/20/25 at approximately 4:50pm the facility had a small fire in the back patio, staff observed a small fire in the bushes near the tree that was quickly controlled by staff using a water hose. 911 was called and the fire department arrived at approximately 5:05pm and cleared the fire. Although there is no proof that the fire was started by residents smoking in the area it is believed that this is how the fire ignited as there were 2 residents who are smokers that were in that area just before the fire started.

During todays visit LPA conducted a health and safety check, a tour of the back patio was conducted and LPA observed newly installed standing ash trays (a total of 4) within the designated smoking area, no smoking signs around the large tree, the bushes that were around the tree have been removed and the tree had minor burn marks on the stump. Interview with S1 revealed that the smoking rules and areas were reminded to all residents, staff have been instructed to keep a look out and make more rounds throughout the day and there were no injures due to the fire.

There were no safety concerns observed and no deficiencies observed during today's visit.

Exit interview held and a copy of the report was provided.