Facility Evaluation Report

On 11/05/25, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to conduct the annual inspection. LPA identified herself upon arrival and stated the purpose of the visit. LPA was greeted by staff who contacted the Designated Facility Administrator, Jerry Abengana. LPA met with Designee, Elaine Abengana, and a brief interview followed. LPA requested the following documents:

·LIC 308: Designation of Administrative Responsibility

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

LPA inspected all rooms including but not limited to: the living room, dining room, laundry room, staff room, and garage. All were in compliance at the time of this inspection.

LPA inspected resident rooms. All rooms were single occupancy and had the required furniture, furnishings and lighting to be in compliance at the present time. The doors to all of the rooms were also equipped with locks for residents to use if they so chose.

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. All food items were dated, labeled, and stored according to regulations. A menu for meals was posted on the refrigerator.