Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:45 AM. LPA met with facility staff who contacted the Licensee Representative Carrie Acosta. The Licensee Representative arrived to the facility at 10:13 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 10:15 AM the LPA, along with the Licensee Representative toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This includes the living room, hallway, and dining area. LPA observed the living room to be clean and properly furnished at the time of the visit. The living room contains a television and activities for resident use. Additionally, the living room contained a fire extinguisher that contained a tag stating the last service was conducted on 06/29/2025. LPA interviewed the Licensee Representative and asked why the tag was stamped for two (2) days from the date of today’s inspection (06/27/2025). The Licensee Representative stated that the fire extinguishers were serviced yesterday (06/26/2025) and were unsure why the person servicing them stamped the incorrect date. The dining area was observed to be equipped with adequate seating for resident use. Additionally, the dining room contained an extra refrigerator and a storage cabinet which contained resident medication. LPA observed a closet in the hallway to contain extra linens. All furniture throughout the facility was observed to be clean and in good repair. The facility’s combination fire and carbon monoxide alarms were tested at 01:13 PM and were functional at the time of the visit. All exits in the facility were observed to contain functioning auditory alarms. LPA observed cameras located throughout the common areas of the facility and confirmed with the Licensee Representative that audio is not recorded.