Facility Evaluation Report

Unannounced Annual Inspection visit was made by Licensing Program Analyst (LPAs) Kimberly Viarella and Sommer Hayes to this facility on 04/17/25. LPAs identified themselves upon arrival, stated the purpose of the visit, and asked to speak with the Designated Facility Administrator (DFA). LPAs met with Gemma Estepa and a brief interview followed. LPAs presented the DFA with a list of documents to be collected during the visit:

· LIC 308: Designation of Administrative Responsibility

· LIC 309: (for any LLC or Corp) if applicable

LPA noted DFA’s certificate # 6027135735 and it expires on 07/21/25. LPA inspected resident rooms. All had the required furniture furnishings and lighting to be in compliance at the present time. LPA also viewed staff quarters as depicted on facility sketch. The LPA inspected the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable.

LPA inspected a total of 2 bathrooms. Each contained soap, paper towels, and trash cans as required. Hot water was measured to ensure the temperature was between 105- and 120-degrees Fahrenheit in order to be in compliance. Hot water measured 106 degrees Fahrenheit.