Facility Evaluation Report

On September 10, 2024, Licensing Program Analysts (LPAs) Kiran Jain and Komal Charitra arrived at the facility at 11:45 AM to conduct the Annual 1-year required inspection. LPAs met with Elizabeth Romero and Hani Fadli, caregivers, and explained the purpose of the visit. Maria Zepeda, Licensee/Administrator and Ismail Zepeda, joined shortly thereafter.

LPAs toured the physical plant and observed it to be clean and odor free at a comfortable temperature. This is a two-story building with 2 shared resident bedrooms, 2 staff bedroom, 2 full bathrooms, a living room, and a kitchen with dining. No accessible bodies of water or hazards were observed. The fire extinguisher was fully charged and purchased on 09/19/2023. The smoke detector and carbon monoxide detector were fully operational.

The attached garage at the first floor was observed to have a washer and dryer for laundry and extra food supply storage. Back half of the garage was observed to be converted into living quarter for the staff members. LPAs observed 2 beds in the living quarter of the garage.

All rooms were observed to be clean with required furniture and sufficient lighting. The bathroom was observed to be mold-free and contained grab bars, bar soap, and non-skid mat. Toilet paper rolls and paper towels were not observed in the bathroom. According to the Administrator, residents have behavioral issues. The hot water temperature in the bathroom sink faucet was measured at 133.8°F. Administrator has Hot Water caution signs posted above each sink.

Sharp objects, detergents, poisons, and soap were observed to be accessible to persons in care. In the presence of the LPAs, they were locked and are no longer accessible to persons in care. No expired food items were observed. The facility had the required 7 days of non-perishables and 2 days of perishables.

LPAs reviewed four resident records and five staff records. All were observed to be complete.