Facility Evaluation Report

On 4/02/2025, Licensing Program Analyst (LPA) de la Cerra arrived at the facility at 10:30AM to conduct an unannounced annual inspection. LPA met with the facility administrator and LPA informed administrator the purpose of the visit.

At approximately 11:00AM LPA and administrator toured the facility and the following was observed. The facility is a single-story building that consist of five (5) bedrooms and two (2) bathrooms. LPA observed two (2) fire extinguishers, both were observed to be fully charged and was purchased on 4/12/24. LPA observed the required facility postings in the bedroom hallway. The facility provides a telephone for clients to use and LPA observed the phone to be operational.

LPA observed dual smoke/carbon monoxide detectors that are hard wired and interconnected. Administrator tested the dual smoke/carbon monoxide detector @1:00pm and was observed to be operational. Administrator showed LPA the fire drill and earthquake drill log and both were conducted on 1/07/2025.

Bedrooms: There are four (4) bedrooms designated for residents to use . All bedrooms are furnished with a night stand, a chair, a lamp, a closet and a bed with clean bedding and linens. All bedrooms appear to be clean and very well maintained.

Bathrooms: LPA observed two (2) bathrooms that are in good repair. LPA observed the functional and appropriate fixtures. The hot water temperature measured between 108°- 112°F. LPA observed the appropriate grab bars and non-skid mat in the shower area and by the toilet.

Common Areas : The living room appeared clean and were properly furnished. No obstructions and or tripping hazards observed in the common area.