Facility Evaluation Report

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted by facility staff receptionist. LPA advised of the purpose of the visit and Administrator (AD) Michelle Domingo was notified via telephone and was advised of LPA arrival and AD arrived shortly afterword to assist LPA with the annual inspection. LPA began a tour of the facility and observed the following. AD has a valid Administrator certificate valid from October 10, 2025 and October 09, 2027.

The facility is comprised of two one storied wings that are equipped with a total of 23 shared and 3 private bedrooms, four shared bathrooms, a laundry room, an outdoor shaded sitting area, a kitchen area, and a large dining area available for clients in care. LPA observed hallways of the facility to be clean and free of any mildew and debris, facility appeared to be in clean and sanitary condition. LPA observed kitchen area to be clean and free of any mildew and debris. LPA observed kitchen area to have a large commercial gas stove, a commercial dishwasher, two refrigerators, and one large freezer. All appeared to be in good repair and tested operational. LPA observed the facility to have a two day supply of perishable food and a seven day supply of non-perishable food, and a sufficient amount of emergency water on hand.

LPA observed resident bedrooms to be large enough to walk about freely, and to have all required furnishings including the following: A chest of drawers, a bed, clean linens in good repair; meaning no strains or tears, a reading lamp, and enough storage space to store personal belongings. LPA observed no toxins or obstructions in the resident bedrooms.