Facility Evaluation Report

Unannounced Annual Inspection visit was made by Licensing Program Analysts (LPAs) Kimberly Viarella and Sommer Hayes to this facility on 04/22/25. LPAs identified themselves upon arrival, stated the purpose of the visit, and met with the Licensee/Administrator, Rowena Ramirez. A brief interview followed. LPA presented Licensee/Administrator with a list of documents to be collected during this visit: LIC 500, LIC 9020, LIC 308, LIC 400, LIC 402, LIC 610E, a copy of liability insurance, updated facility sketch, and a copy of the Designated Facility Administrator's Certificate.

The inspection began in 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. LPAs observed packages that were packaged and dated as required.

LPA compared the facility sketch to the current floor plan and they were identical with no changes. LPA inspected the 4 resident bedrooms. All resident rooms had the required furniture, furnishings and lighting to be in compliance at this time.

LPA noted soap, paper towels, and trash cans in the bathrooms. The hot water temperature was measured at 105 degrees Fahrenheit and was in compliance. The fire extinguisher was last serviced on 07/22/24 by Jorgenson Fire and was also in compliance.

The exterior of the building was inspected by the LPA. There were no bodies of water present and the yard was completely fenced in. LPA observed that all screens and gutters were in good repair.