Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted by Staff Emman Villanueva and the purpose of the inspection was discussed. Administrator (AD) Jordan Nguyen arrived at approximately 10:05 a.m. and assisted with the inspection.

During the inspection, LPA and Staff Villanueva conducted a tour of the inside and outside of the facility, common areas, client rooms, and observed the following:

This is a single-story complex, composed of three buildings containing 26 client bedrooms, 15 bathrooms, one kitchen, one dining room, one laundry room, one medication room, one staff office, and multiple storage closets. Select client bedrooms were inspected, and all were observed to have the required furnishings. LPA observed all client beds had linens and blankets. There is a central courtyard with a shade sitting area. LPA observed clients socializing in common areas and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature tested between 108.3-115.8 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers were observed to be mounted on the wall in common areas. Fire extinguishers were observed to be fully charged with service tags dated July 3, 2025. Facility appliances were inspected and observed to be operable. Medication was observed to be centrally stored and locked in the medication room. LPA reviewed four client files and two staff files. LPA interviewed four clients and two staff. (Cont. LIC809-C)