Facility Evaluation Report

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

On 9/23/25 the department received an incident report dated 9/18/25 in which it was reported that there was a small fire that had started in R1's room. R1's bed has a small fire and the trash can in the room was also on fire, staff heard the alarm and quickly ran to the room and put out the fire, S1 put the fire out using the fire extinguisher.

During todays visit LPA conducted a health and safety check and, toured room #41, the room was empty and there were no signs of smoke damage in the room observed. Per S1 the resident was immediately relocated to a different room and there have been no further incidents. Its believed that the fire started as R1 was leaving their room and threw a cigarette butt in the trash can, that first hit the bed and then fell into the trash. Although there is no proof to this assumption this is believed as R1 is a smoker, the smoking rules were re-explained to R1 after the incident.

No deficiencies observed during today's visit.

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