Facility Evaluation Report

On 7/21/2026, at 2:15 PM Licensing Program Analysts (LPAs) Reza Jamaly arrived unannounced at the facility to conduct the required annual inspection. LPAs met with staff on duty who assisted LPA touring the facility then administrator Grace Bernardino joined the meeting. Administrator certificate expires on 9/12/2027.

Facility is cleared for 6 residents and census was 6.

Firstly, LPA Jamaly inspected the physical plant including but not limited to the common area, kitchen, dining area, 6 resident's bedrooms, resident bathrooms, and outside courtyard of the facility to ensure compliance with Title 22 regulations.

LPAs inspected the kitchen and observed a sufficient supply of at least a seven-day supply of nonperishable food and a two-day supply of perishable food. Sharp knives were secured in a locked kitchen cabinet and inaccessible to resident. LPA checked two refrigerator and freezer, one located in kitchen and another outside in front of living room.

LPA inspected 6 resident's bedrooms and observed bedrooms to be properly furnished with appropriate bedding and lighting.

Resident's bathrooms observed to be cleaned, grab bars and non-slip mats were observed to be secure and in good condition. The hot water temperature measured 108.8 at one of the resident bathroom sink, which is within the required range of 105°F to 120°F. Facility temperature was checked at living room and observed to be 76 degree F. There are no bodies of water present.