Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required inspection. LPA Valerio met with facility staff, and explained the purpose of today's visit. LPA was later met by Administrator Osazeme Evbuomwan.

LPA Valerio observed two resident and one staff present in the facility. LPA Valerio inspected the physical plant to ensure compliance with title 22 regulations. The facility kitchen was observed to be clean and sanitary. The facility was observed to have two days of perishable food items and seven days of non perishable food items. All common areas were observed to be fully furnished, clean, and organized. Resident bedrooms were fully furnished and personalized to each resident's preferences. Residents appeared to be content, wearing clean clothing, and engaging with morning activities. The resident bathrooms were clean and stocked with hygiene supplies. The fire extinguisher was observed to be fully charged with its last annual service on October 15, 2025. The thermostat inside the facility was set to a comfortable temperature.

LPA Valerio reviewed one resident file and one staff file. All files were observed to be up to date with required documentation.

LPA Valerio requested the following be sent to CCLASCPSacramentoSouthRO@dss.ca.gov: LIC 500 - Personnel Report, LIC 308 - Designation of Administrator (backup), LIC 610 - Emergency Disaster Plan, and Copy of Surety Bond.

No deficiencies were observed during today's visit. An exit interview was held, and a copy of the report was provided.