Facility Evaluation Report

Licensing Program Analyst (LPA) Gary Tan initially met with staff Marisol Obando who called the administrator Nellie Sedoyan who arrived about twenty (20) minutes later for a One (1) Year Required visit for this facility. LPA explained the reason for the visit.

A tour of the physical plant was conducted at 12:41 PM and the following was noted:

There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan.

The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has a total of five (5) bedrooms and for (4) bathrooms. One (1) bathroom and one (1) bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, one (1) of which may be bedridden on Room #1. Hospice waiver for six (6) residents.

Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 75°F. Dual smoke/carbon monoxide alarms were tested and observed to be operable. Fire extinguisher was last bought on 03/25/25 and located in the kitchen.

Surrounding Grounds: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a covered patio and backyard furniture to accommodate the residents.