Facility Evaluation Report

Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility today to conduct a required annual visit. LPA was greeted and granted entry and explained the reason for the visit. Administrator Moneli Sharifan arrived shortly after.

The facility is a single story building with an approved fire clearance of six non-ambulatory residents of which one may be bedridden with a hospice waiver for six. The facility currently has a census of six residents in care with one on hospice.

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 two of two resident bathrooms. The hot water temperature measured between 125 and 128 degrees Fahrenheit with a caution sign present to advise of the hot water. The facility’s last fire drill was conducted on April 1st, 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 medication storage and reviewed the centrally stored medications.

LPA reviewed two out of two staff training and fingerprint records. LPA conducted a complete review of resident records LPA confirmed that administrator has a current certificate which expires on November 20th 2025.

Based on observations made during today's visit no deficiencies noted. An exit interview was conducted and a copy of this report was provided