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 Care giving staff. Administrator (AD) Uldarico Almiranez was present at the facility and was able to assist LPA with the annual inspection. LPA began a tour of the facility and observed the following AD Uldarico Almiranez has a valid Administrator certificate valid from April 11, 2026 through April 10, 2028.

The facility is a one storied home with a total of seven bedrooms six of which are utilized for residents in care and one of which is utilized for live in staff members. The facility is equipped with an attached two car garage, and two bathrooms that are both shared. LPA observed the kitchen area to be clean and free of any mildew and debris. LPA observed for there to be a dishwasher, microwave, gas stove, and refrigerator in the kitchen area. All appeared to be in good repair and tested operational. LPA observed a two supply of perishable food and a seven day supply of non-perishable food.

LPA observed all resident rooms to be large enough to walk about freely and be free of any hazards, and obstructions. LPA observed bedrooms to have all required furnishings including a bed, a lamp, a chair, enough storage space to store personal belongings, and clean linens in good repair; meaning no strains or tears. LPA observed all resident restrooms to be clean and free of any mildew and debris. LPA observed all faucets and toilets to be operational. LPA observed restrooms to have all required furnishings including grab bars, slip resistant floor matts, and a shower chair. Hot water temperature tested between 110.3 and 112.1 degrees Fahrenheit. CONTINUED ON LIC809-C