Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit for the purpose of completing the required annual visit. Upon arrival, LPA was greeted by Staff (S1) Ricky Edora, who granted entry into the facility. S1 contacted Administrator (AD) Angelina Teves by phone, and LPA spoke with AD to explain the purpose and scope of the visit. LPA toured the interior and exterior of the facility. The facility is a one-story home with five resident bedrooms, three bathrooms, a living room, kitchen, a staff bedroom, and an attached two-car garage.During the tour, LPA observed each resident bedroom contained the required furnishings, including appropriate bed linens, adequate closet and drawer space, and sufficient room to accommodate each resident comfortably. Toilets and water faucets were observed to be operational. Grab bars were observed to be secure, and shower areas were observed to be clean and free of mold or mildew. Hot water temperatures were tested in all three restrooms and measured between 111.2 and 112.3 degrees Fahrenheit.LPA observed smoke detectors and carbon monoxide detectors installed in common areas, hallways, and bedrooms, and each device was tested and found to be operational. LPA observed a fire extinguisher that was fully charged and maintained with a service tag reflecting the last inspection date of February 16, 2025. LPA also reviewed the facility’s fire drill documentation and confirmed fire drills are conducted as required, with records maintained and available for review.

Based on observations, and record review, no deficiencies were identified per title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to Caregiver, Ricky Edora