Facility Evaluation Report

At 9:45a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA was unable to gain entry to the facility after several attempts. LPA called the administrator at 10:05 a.m. and disclosed the reason for the visit. Administrator stated there were no staff or residents at the facility. Administrator arrived at approximately 10:35a.m. and granted LPA access to the facility.

At 11:00a.m., Administrator and LPA conducted physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. The front main door is the only entrance being utilized at the facility; it has a total of (04) bedrooms and two and half 2 ½ bathrooms. Three (03) shared bedrooms and one (01) and half (1/2) bathrooms are designated for residents. One (01) bedroom and one (01) bathroom are designated for live – in staff. Fire/Earthquake drill was last conducted on 01/02/2025. Required posting observed displayed in the facility office area (complaint hot line poster, personal rights, etc). Temperature of facility wall thermostat is observed and set to 76 Fahrenheit. The fire alarm/CO system was tested and observed to be working. No obstructions and or tripping hazards throughout the facility.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Common Areas : These included the living room and dining area for residents. The common areas were properly furnished. Furniture in common area were observed to be in good repair. Fireplace in the living room was observed to be covered with protective metal gate and glass doors. Residents dining table fits six (06) residents.