Facility Evaluation Report

Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with lead RBT Patricia Zepeda. Director of Operations David Sandhu was notified and was able to attend the visit. Administrator Dora Rodriguez, certification number 6065609735 and expiration date 01/18/2027 was notified of Licensing visit and able to attend it.

The facility was observed to be at a comfortable temperature, of 71 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. During the visit the two out of four facility clients were present. Department phone number and infection prevention information signs were posted thought the facility. facility phone number 408-438-6076 and observed operational.

Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Refrigerator observe operational with temperature recorded at 35 degrees F, and freezer at 0 degrees F. An emergency disaster supply was observed recorded on January 1st and January 15th, 2026.

A fire extinguisher was observed with service date of 08/27/2025. Private clients’ bedroom observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 105 degrees F.

Medications records storage observed to be locked in a cabinet in the office. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for clients in care. Clients medical assessment updated biannually.