Facility Evaluation Report

On 01/10/26 Licensing Program Analyst (LPA) Regina Cloyd conducted a case management-health check visit. LPA met with Receptionist Melina Orozco and the purpose of the visit was explained. During case management visit LPA interviewed two staff members and received copies of the fire watch log (12/01/25 - 12/10/25, 01/09/26 - 01/10/26), personnel report (12/12/25), and caregiver work schedule (January 2026).

Record review of fire watch log (01/09/26 - 01/10/26) revealed fire watch patrol was conducted every 30 minutes from 7:00 AM - 12:30 AM by one staff member. From 10/10/25 1:00 AM - 6:30 AM, the fire watch log does not include an initial that someone completed the patrol. One out of two interviews indicated fire watch patrol by caregiving staff occurs every hour.

Deficiencies are being cited and will be issued at a later date.

An exit interview was conducted a copy of this report was provided to Receptionist Melina Orozco.