Facility Evaluation Report

On today's date January 27, 2026 Licensing Program Analyst (LPA) Brandon William Vanegas made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by caregiver staff and explained the purpose for the visit. Administrator (AD) Maria Jimenez was notified via telephone and later arrived to assist with the inspection. LPA observed that Administrator Maria Jimenez has a valid Administrator certificate which expires on April 20, 2027.

LPA Vanegas began a tour of the facility and observed the following, the facility is a two story home, and consists of six bedrooms three of which are resident bedrooms, and three of which are staff bedrooms, two resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. The upstairs portion of the facility is designated for staff only. LPA accompanied by the AD conducted a tour of the physical plant. On today's visit, LPA observed six residents in care and two caregiver staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on a wall by the kitchen. The PUB 475 poster measured 20X26. LPA inspected the three resident bedrooms and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings such as a bed with clean linens in good repair; meaning no strains or tares, a chair, a chest of drawers, a reading lamp, and enough storage space to store personal belongings. LPA observed additional linens are stored in a hallway closet.

LPA inspected the two shared bathrooms. Resident bathrooms are clean and free of mildew and debris. Bathrooms are equipped with grab bars and slip resistant floor mats. Water faucets and toilets tested operational. Hot water temperature measured between 110.3 and 116.4 degrees Fahrenheit. LPA inspected the staff bedroom which was observed to be locked. CONTINUED ON LIC809-C