Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPA met with Administrator Diana Castellanos and explained the reason for the visit. Facility is licensed to serve 6 non-ambulatory residents over the age of 60, of which (3) may be bedridden, with a hospice waiver for (2). Current census is 5 residents, (1) of which is receiving hospice services. Facility has a valid Certificate of Liability Insurance, with expiration date of 05/20/2026.

At 9:45am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The auditory alarms on all exit doors were installed and functional at the time of the visit. The smoke/carbon monoxide detectors are hardwired and interconnected. At 10:10 am the smoke/carbon monoxide detectors were tested and observed to function properly. The are two fire extinguishers, one in the laundry room and one in the hallway. Both fire extinguishers are full with a charge date of 04/27/2025. Facility conducts quarterly emergency drills. The last fire and earthquake drill was conducted together on 07/07/2025. Facility uses the front entry door as the main exit. There is an additional exit door on the hallway next to bedroom #1 and another exit door in the laundry room. There is a side gate, in the front, for emergencies as well.

Kitchen: The kitchen appliances include a refrigerator, stove/oven and microwave; all fixtures were functional. LPA found a sufficient supply of perishable (2 days) and non-perishable (7 days) foods at the facility. Knives were stored in a locked drawer in the kitchen and detergents/chemicals were stored locked, underneath the sink. All kitchen surfaces and cabinets were observed to be clean and sanitary.

Common Areas : These included the living room and dining area. The living room was furnished with sofas, a television set and a cabinet for storage of games. Dining room was furnished with a dining table and six chairs, appropriate for number of residents.