Facility Evaluation Report

On April 15, 2026, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Val Quiros and Margaret Chan and LPA explained the purpose of the visit.

LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort.

LPA observed 6 resident rooms with all private rooms. Rooms were spacious and included all required furnishings. Bathrooms were observed to be clean; equipped with paper towels, soap, and grab bars. Hot water temperature in the kitchen, and bathroom was measured at 107- 118 degrees F. 2 days for perishables and & 7 days non-perishable were observed to be present.

LPA observed chemicals were locked and inaccessible to residents in care; LPA observed sharps were unlocked and accessible to residents in care.

Facility is equipped with smoke detectors and carbon monoxide detectors. Fire drill records were reviewed.

A review of (6) resident files was conducted and noted on the LIC 858.

A review of (2) staff files was conducted and noted on the LIC 859.

Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties.

This report is reviewed and discussed caregivers. A copy is provided with the appeal rights.