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 into the facility by staff and explained the reason for the visit.

The facility is licensed for six (6) non-ambulatory residents. Currently, 5 residents reside in the home with 4 residents present during today's visit. The facility is a 5 bedroom, 2 bathroom, single story home with an attached garage.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and testing hot water temperature in the bathrooms. The hot water temperature measured 110.8 and 112.5 degrees Fahrenheit and all smoke detectors were operational. The facility conducted an emergency drill in 07/26/2025. 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 secured medication storage. LPA observed emergency food and water in the garage of the facility.

LPA reviewed three of three staff training and fingerprint records and conducted a complete review of five out of five resident files. LPA confirmed that administrator has a current administrator certificate which expires on 12/26/2025.

Based on observations no deficiencies noted. An exit interview was conducted and a copy of this report was provided.