Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual. LPA was greeted and granted entry by staff and explained the reason for the visit. Sarah Levante, House Manager, arrived at 9:00 AM.

The facility is a one-story home with four resident bedrooms, two bathrooms, kitchen, dining room, living room, laundry room, staff office, back yard and attached two-car garage.The facility is licensed for 4 bedridden residents and has a hospice waiver for 2 residents. The facility has a current census of 3 residents.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and water temperatures. The water temperatures tested at 81.5 to 103.6 degrees. All smoke detectors were operational. The facility’s last fire drill was conducted on July 29, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed a secured area for medications in kitchen cabinet. LPA observed emergency food and water in facility garage.

LPA reviewed two out of two staff training and fingerprint records, LPA observed facility did not have the following training including: dementia, postural supports, restricted health conditions and hospice care. LPA conducted a complete review of client records.