Facility Evaluation Report

On February 9, 2026, Licensing Program Analyst (LPA) Garlli Tat made an unannounced Collateral visit to the facility. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Direct Care Staff (DCS) Ariande Salazar notified Administrator Kevin Mendoza, who later arrived to assist with today's visit.

The Collateral visit is being conducted in conjunction with complaint 22-AS-20251203153959 for the previous facility resident resided at. Resident moved into Adriana Elderly Care Home I on October 10, 2025. During today's visit, LPA accompanied by the Administrator, conducted a tour of the physical plant of the facility. LPA observed the facility to be clear of any hazards. No health or safety concerns were observed. LPA conducted resident and staff interviews. LPA additionally collected pertinent documents to the complaint such as the resident records and contact information of hospice agency.

Based on the observations made during today's visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Kevin Mendoza and a copy of the report was provided.