Facility Evaluation Report

Announced Prelicensing visit made out to this facility on 10/31/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility Applicant, Tina Gonzalez, who was briefly interviewed at this time.

It was learned that this facility will be seeking to accept and retain up to (4) ambulatory only residents through vendorization with Valley Mountain Regional Center (VMRC) at any given time.

It was learned that this facility will have a program to be able to accept and retain Level 4I residents at any given time.

Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time.

Linen closet, located in the second floor facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time.

Kitchen drawers and cabinets were opened and reviewed.

Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times.

Additional food storage units were observed to be present and functional at this time.

Laundry area, located on the second floor, was toured.

Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

Administrator certificate for the facility designated Administrator, Tina Gonzalez, was observed to have been completed with certificate number #6070295735 that was set to expire on 05/05/2026 and in compliance at this time.

Medication cabinet, located in the facility hallway closet, was observed to be locked and made inaccessible to