Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the Required 1-Year annual evaluation using the Care Inspection Tool. LPA was greeted and granted entry by the receptionist and explained the reason for the visit to Executive Director (ED) Brisseth Arrellano and Business Office Manager (BOM) Patricia Jimenez. LPA toured the physical plant with BOM Jimenez. Facility is clean, sanitary, and in good repair except for one out of twelve units. LPA observed the presence of mold on one panel of the ceiling caused by a small drip from the water pipe running through the ceiling. The ceiling panel was removed and replaced during the visit. All bedrooms had the required furnishings, and bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured between the ranges of 110.8 and 119.6 degrees Fahrenheit in twelve bathrooms. All common areas were inspected including the kitchen, dining, and courtyards. LPA observed sufficient emergency food and water in the kitchen and storage. There were ample supply of clean towels and linens. Toxins, disinfectants, sharps, and medications were secured and inaccessible. The first aid kit had all necessary items. LPA observed ample supply of two-day perishables and seven-day non-perishable food in the kitchen. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction and there were sufficient seating and shading. The fire extinguishers were serviced on February 4, 2025. The smoke/carbon monoxide detectors were tested this year per maintenance director and proof of service will be submitted to LPA by August 29, 2025. Evac chairs were observed at each stairwell. The Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size. Facility was advised on the following: to ensure the facility is clean, sanitary, and in good repair at all times. Based on the observations made during today's visit, a deficiency is being cited on the attached LIC809-D. An exit interview was conducted with Executive Director Brisseth Arrellano and Business Office Manager Patricia Jimenez, and a copy of this report was provided at exit.