Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit and met with House Manager, Wendy Vasquez. LPA explained the purpose of the visit. The facility is licensed to care for (6) non ambulatory residents age 60 and over.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Bathroom has hygiene items such as paper towel, hand soap and toilet paper. LPA reviewed the Infection Control Plan in place.

Operational Requirements: The fire clearance is in place. LPA observed a valid Liability Insurance policy and a valid Surety Bond Insurance in place. Last Fire/Disaster Drill was conducted on 07/09/2025.

Physical Plant/Environment Safety: The facility is a single-story home located in a residential neighborhood which consists of (3) resident bedrooms, (3) bathrooms, living room with fireplace, kitchen, dining area, laundry/storage area, side yard and backyard. The interior and exterior physical plant was inspected. Resident bedrooms were toured. Each bedroom has a smoke detector, linen, light, chair and sufficient closet space. Resident beds have the required linen, and the linen is in good condition. The bathrooms were observed to be clean and operational. Extra linens and towels are located in the hallway closet. Side yard and backyard were inspected and have a shaded and sitting area. There are (2) fire extinguishers in the facility which was last serviced on 04/15/2025. Carbon monoxide detectors were tested and operable. There are no firearms or weapons stored at the facility. No open bodies of water. Cleaning supplies are locked and inaccessible to residents. Fireplace is covered and inaccessible to residents.