Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry by staff and explained the reason for the visit. Administrator Moneli Sharifan arrived at 2:15 pm.

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

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two bathrooms. The hot water temperature measured between 113.3 and 115.5 degrees Fahrenheit and all smoke detectors were operational. 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.

LPA reviewed four out of four staff training and fingerprint records. LPA conducted a complete review of resident records. LPA confirmed that administrator has a current administrator certificate which expires on 11/20/2025.

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