Facility Evaluation Report

On 3/25/2026 Licensing Program Analyst (LPA) LaVette Farlow, arrived unannounced at Walnut Senior Home III, to conduct an annual inspections. LPA was greeted by Caregiver Maria Santiago and granted entry into the facility. Maria notified Licensee, Gulvarg Kaur of LPA's arrival. LPA introduced self and stated purpose of the visit. The facility is licensed to house (6) non-ambulatory residents and hospice waiver/granted for six (6) residents. LPA toured the facility inside and outside and observed the following:

Physical Plant: Facility is a one story house with (4) resident bedrooms, (2) resident bathrooms inside the facility and a third bathroom outside, office/staff room, living room, dining area, kitchen, pantry, backyard, and attached garage. LPA observed the facility's temperatures to be comfortable and measured at 75 degrees Fahrenheit. LPA observed the hot water temperature in the bathrooms and residents bathrooms. The water temperature in the residents bathroom and common area bathrooms measured at 104.8, 106.6 and 110.6, which is within regulations. LPA observed bathrooms and found that showers and toilets are operable. Each bathroom contained adequate amounts of hygiene supplies and paper products. LPA observed that linens and hygiene items are enough for residents in care. Each resident room included lamps, night-lights dresser drawers, bedding and chairs and appropriate lighting to ensure residents comfort and safety. The facility is equipped with smoke alarms and carbon monoxide detectors. The facility maintains and conducts fire drills and earthquake drills quarterly. Last drill completed in 12/2025. No abnormal notes (LIC809C Continued)