Facility Evaluation Report

On 7/8/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their annual inspection visit. LPA met with Staff on duty, Omar Slypher (S1), and stated the purpose of the visit. LPA also met with another staff on duty, Felipe Naikaso (S2) who is being trained by S1 during this visit. Present during this visit were 4 residents in care with 2 staff on duty.

Overview : Facility is a one-story home located in a residential neighborhood. Facility is cleared to serve up to 6 ambulatory and non-ambulatory residents, may be diagnosed with dementia/neurocognitive disorder. Facility is approved to serve one resident receiving hospice.

Initial Observation: Upon arrival LPA noted 2 staff on duty (S1 and S2). LPA also noted that one resident in care was having their morning meal at the second living room by the fireplace. Other residents was in their rooms. One resident was observed to be listening to music while lying down. S1 was orienting S2 during this visit.

Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA observed the inside of the facility to be clean and in good repair at this time. LPA inspected 3 of 5 resident bedrooms and were observed to be equipped with the required furniture and sufficient lighting throughout. LPA measured the hot water temperature in 2 resident bathrooms between 115 and 116 degrees Fahrenheit. In 1 of 2 bathroom, LPA observed the towel holder to be falling off. Room temperature was observed at 68 degrees Fahrenheit. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguisher was observed at the medication area and were last inspected on 1/8/2025. Smoke and carbon monoxide detectors were observed. {Con't to 809-C}