Facility Evaluation Report

Licensing Program Analyst (LPA) Gary Tan met with Administrator Nellie Sedoyan 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 12:23 PM and the following was noted:

There is only one entrance being utilized at the facility. The facility had submitted and approved Infection Control and Mitigation plan.

The facility has a designated visitors' area at the backyard. 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 08/06/25 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.