Facility Evaluation Report

Licensing Program Analyst (LPA) Robert Campbell conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Rosalie Valenciano who was informed of the purpose of the visit. At the time of the visit there was two (2) staff and five (5) Residents present.

The facility is a two story home with (4) bedrooms and (2) bathrooms with attached garage. The upper floor consists of a loft area for staff. No pools or firearms are being kept at the facility. LPA conducted interviews and observed the following:

Infection Control: The LPA observed the hand washing stations in the facility, hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training.

Physical Plant: LPA observed the resident bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for Residents. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients in pantry closet. The smoke detector and carbon monoxide was operational, and the hot water temperature 107.0F. Fire extinguisher in the kitchen 9/17/2025 good.