Facility Evaluation Report

On 6/17/2025, Licensing Program Analyst (LPA) Vadim Gorban arrived unannounced for an Annual Required Inspection. LPA met with Administrator Arnel Tolentino, stated the purpose of the visit and was allowed entry.

Facility tour was conducted. Indoor temperature observed comfortable was recorded at 79 degrees F. Facility appeared clean with no obstruction or fire clearance issues. Fire extinguisher service date on November 14th, 2024. Last fire drill recorded on 4/14/2025

Hand sanitizer was readily available to residents and visitors. Bathrooms have trash cans with lid. Hand washing posters were observed by the bathrooms. Water temperature was tested and recorded 105 -degrees F. All four bedrooms were checked, two shared and tow private residents rooms. The exterior tour was conducted with patio furniture and available seating area.

Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Refrigerator temperature was maintained at 36.0-degree F. and freezer was maintained at -0-degree F.

LPA checked residents’ medication records. Food supply was checked and there appeared to be an adequate supply. Cleaning supplies were checked. Staff records were reviewed for good health and infection control training. Facility staff was observed communicating with resident in polite manner. LPA observed residents after lunch in common area.

Resident’s files have updated emergency contact information.

Facility operational phone number 209-626-5122

No deficiencies were cited during this visit.

Exit interview was conducted, report signed and provided to administrator for facility records.