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 and granted entry to the facility by facility staff. LPA explained the purpose of the visit and Administrator (AD) Arnold Andal was notified via telephone. AD arrived shortly afterwords 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 January 29, 2026 to January 28, 2028.

The facility is a one storied home equipped with four bedrooms three of which are utilized for clients in care and one of which is utilized for staff on duty. Additionally the facility is equipped with an attached two car garage. LPA observed the kitchen area to be clean and free of any mildews and debris. LPA observed the kitchen area to have a refrigerator, microwave, and gas stove. 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. LPA also observed a sufficient amount of emergency water on hand.

LPA observed all resident bedrooms to be large enough to walk about freely and accommodate all required furnishings such as a bed, clean linens in good repair; meaning no strains or tears, a chest of drawers, a reading lamp, a chair, and enough storage space to store personal belongings. LPA observed all restrooms to be clean and free of any mildews and debris. LPA observed all faucets and toilets to be operational and in good repair. LPA observed the restrooms to have all required furnishings such as a shower chair, grab bars, and slip resistant floor matts, LPA observed hot water temperature to be between 109.2 and 110.4 degrees Fahrenheit. CONTINUED ON LIC809-C.