Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin made an unannounced visit to the facility to conduct a Required Annual Inspection. LPA Haddadin was greeted by Staff (S1), Jomar Alejandro, who granted entry. The purpose of the visit was explained, and S1 accompanied the LPA throughout the inspection. The inspection included a comprehensive tour of the facility's interior and exterior, including common areas, resident rooms, the kitchen, the garage, and the backyard.The facility is a single-story house with four resident bedrooms, two bathrooms, a living room, a kitchen, a dining room, and a two-car garage. Smoke and carbon monoxide detectors in common areas and bedrooms were tested and found to be operational. The fire extinguisher, mounted in the kitchen, had a documented service date of August 14, 2024. The fire drill log indicated the last drill was conducted on May 25, 2025. The two side emergency exits were clear of any obstructions. In the kitchen, a two-day supply of perishable and a seven-day supply of non-perishable foods and water were observed. Kitchen appliances were operational, and sharps and knives were locked and inaccessible to clients. Clients’ bedrooms contained the required furniture, bed linens, and adequate closet and drawer space. Restrooms, toilets, and water faucets were operational. Grab bars were secure,and showers were free of mold and mildew. The water temperature was measured between 115.5 and 117.7 ∘ F. The backyard was observed to have a shaded seating area for clients’ enjoyment. A review of three resident files was conducted. The review of Resident 1's (R1) file revealed that the date, time, and dosage for PRN (as-needed) medication administrations were not logged.

Based on the observations made during today’s inspection, deficiencies are cited in accordance with the California Code of Regulations, Title 22, Division 6. An exit interview was conducted with Jomar Alejandro to discuss these findings. A copy of this report and information regarding appeal rights were provided to staff at the conclusion of the inspection. NOTE: LPA called licensee Ignacio Rudy and discussed the report and deficiencies