Facility Evaluation Report

Licensing Program Analysts (LPAs) Christina Valerio and Reza Jamaly arrived unannounced to conduct an annual required inspection. LPAs met with Licensee Susie Dizon, and explained the purpose of the visit.

LPAs toured the facility to ensure compliance with Title 22 regulations. LPAs observed four residents in care at the start of the visit. At the end of the visit, one resident moved out. LPAs inspected four (4) resident bedrooms, all of which were free from odors, fully furnished, and had no obstructions of emergency exits. LPAs observed two (2) resident bathrooms. Resident bathrooms were observed to have skid mats, shower chair, grab bars, hygiene supplies, and to be clean. The water faucet delivered hot water at a temperature of 110.1 degree F, which is within the required range of 105.0 - 120.0 degree F. The facility was observed to have an adequate food supply, and an emergency supply of canned food. LPA Valerio observed the kitchen and dinning room to be clean and sanitary. LPAs observed common areas (hallways, living room, dinning room, and sitting area) to be fully furnished and organized. LPAs observed the exterior plant. The shed in the backyard was observed to be used for storage. Exit pathways were clear from obstructions. The facility fire extinguisher was fully charged and last inspected on 02/17/2026. The date of the last fire drill was conducted on 01/10/2026.

LPAs reviewed one (1) resident file and one (1) staff file. Files were observed to be up to date with required annual documentation. LPA Valerio requested the following to be sent to christina.valerio@dss.ca.gov: LIC 500, LIC 308, LIC 610, and copy of Liability Insurance

Per California Code of Regulations (CCR) - Title 22 - no deficiencies were cited today. An exit interview was held, and a copy of the report was provided.