Facility Evaluation Report

On September 23, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the House Manager (HM) Brianna Bernal about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. HM later arrived to assist with the inspection.

The PUB475 ‘See Something, Say Something’ poster was observed to be located by the front entrance. LPA observed the Administrator's Certificate for Moe Jerrar, which expires on July 20, 2026.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, five of which may be non-ambulatory, one of which may be bedridden, and six of which may be on hospice. LPA toured the interior and exterior portions of the facility with HM. For this visit, there are a total of four non-ambulatory and one ambulatory residents in care, none of which is on hospice, and one is bedridden.

The facility is a single-story home. There are a total of six bedrooms, five of which are private resident rooms, and one serves as staff quarters. LPA toured each bedroom with the HM and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff quarters to be kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of three bathrooms.