Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual Inspection and met with Zadel Cabrera, Administrator, and MJ Cabrera, House Manager. Also present were staff, Joan Simbajon and Alfred Flores. LPA observed (2) residents in the common area and (3) residents in their rooms. LPA was advised (1) resident was currently in the hospital. The facility is licensed for (6) non-ambulatory residents and has an approved hospice waiver for (2). Currently there are no residents under hospice care. Dinner was served at 4:40 pm.

LPA and the administrator toured the interior and exterior of the facility, including the common areas, (4) private resident bedrooms and (1) shared resident bedroom, staff room, bathrooms, kitchen, laundry and patio. All areas were observed to be clean, in good repair and odor free, and there were no obstructions to any doors. Staff are aware where the utility shut off valves are. There was 2+day perishable and 7+day non-perishable food supply and an additional freezer. LPA observed locked medications and sharps in the kitchen and office area and locked toxins near supplies. All doors have working alarms, and the fire extinguisher was last serviced 7/7/25. There are sufficient blankets/linens/towels and a complete First Aid kit. Hot water measured 118*F in the kitchen, and the inside temperature measured 73*F. The outside patio area joins with the patio of the adjacent related facility. There is seating also. There are no pools/ponds.

LPA reviewed (2) resident files and multiple staff files. All files were organized and contained current/required documentation. Scheduled and on-call staff are completing the required training hours through an approved vendor and have current certification in First Aid/CPR. Medications were reviewed for (1) resident. Orders matched medications and documentation was current. All exit doors have alarms. All required postings are in the common area. Discussed multiple regulation updates made earlier in 2025, and an updated Dementia Care Plan is on file. LPA obtained an updated copy of the insurance policy. All facility contacts are current. There are no deficiencies cited during today's inspection. Exit interview. Copy of report provided.