Facility Evaluation Report

In conjunction with a complaint investigation, pertaining to complaint control #31-AS-20260114100009, Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Barbara Pacheco and explained the reason for the visit.

With the assistance of a Staff 1 (S1), LPA took a tour of the physical plant. The facility is a one story building. The smoke alarms are interconnected. There are two functional carbon monoxide detectors. One by the kitchen and one in the living room. There is a fire extinguisher located in the kitchen. The charge date is 03/03/2026. The latest earthquake, fire and emergency disaster drill was conducted on 03/25/26.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer.

Bedrooms: There were four (4) bedrooms designated for the residents. Each room is for private use. LPA observed the resident rooms to be properly furnished with appropriate beddings and linens with sufficient lighting. Exit doors in resident rooms were clear of obstruction. Auditory alerts were tested and are functional during the inspection.

Bathrooms: There are three (3) bathrooms. Two (2) are designated for residents' use. One (1) bathroom is reserved for staff. Both bathrooms designated for resident use were properly supplied and had the proper fixtures, grab bars and non-skid mats. Hot water temperature was measured between 108 to 111 degrees Fahrenheit.