Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management visit to respond to observations and interviews from a visit conducted on 2/8/2025. LPA was greeted by, identified herself to, and explained the purpose of the visit with Administrator Jushua "Justin" Mendoza.

On 2/08/2025 LPA Observed cobwebs in all bathrooms and all bedrooms. All resident doors had fingerprints and splotches of dirt. All Bathroom shelves have brown splotches and brown spots. The kitchen cabinets had outside debris/dirt and grease. The oven vent was greasy and had debris/dirt. The back yard shed was in disrepair and had a door hanging to the side. The back yard fence in disrepair: missing pieces of fence and lattice is hanging off top of fence.

Based on the inspection, deficiencies were observed in the areas evaluated, and observed deficiencies is listed on the LIC 809-D page. An exit interview was conducted, and this report was discussed with Administrator Mendoza. A copy of this report and Licensee/Appeal Rights (01/2016) were provided to the Administrator at the conclusion of the visit, and his signature on this form acknowledges receipt of the rights and a copy of this report.