Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced annual inspection visit. The purpose of the visit was explained to Administrator Joy Villaflores. The facility serves elderly residents ages 60 and older.

Infection Control: The Infection Control Plan was reviewed and includes environmental cleaning and disinfection activities. Facility has sufficient Personal Protective Equipment.

Operational Requirements: A hospice waiver for 1 resident is in place. A fire clearance was granted for 4 non-ambulatory and 2 ambulatory residents. Facility does not handle resident P & I monies. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is current with an expiration date of 7/13/2026.

Physical Plant/Environment Safety: The facility is a single story home located off a major street. The facility is owner operated and consists of 5 resident bedrooms and 1 staff bedroom for Administrator, 3 bathrooms, living room, dining room, kitchen, outdoor covered patio area, outdoor laundry room, and a 2 car attached garage presently being used as a storage area. Smoke and carbon monoxide detectors were tested and are operational. The facility has one (1) fire extinguisher. Water temperature readings did not measure within the required 105 - 120 degrees Fahrenheit. The facility has a 1st Aid Kit and Manual. Cleaning supplies, knives, and toxic substances are inaccessible to residents. The last Emergency Disaster drill was conducted on 8/15/25. Exit door in room #3 was obstructed by R2's bed.

Staffing: A total 4 staff members provide care and supervision to the clients.