Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection. LPA met with Designated Administrator (DA) Ella Baris and Staff Mary Ann Trinidad. LPA stated the purpose of the visit.

LPA toured the interior and exterior of the facility with DA to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by DA. Fire extinguishers were last serviced on 2/11/2025. The facility emergency drill log was reviewed. The facility's last drill was on 10/9/2025.

LPA toured 3 resident bedrooms, and observed 3 bedrooms to have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA toured 1 bathroom, which had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature at 117.3 F. LPA reviewed 2 resident records, 2 resident's Centrally Stored Medication and Destruction Records (CSMDR’s).

No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Designated Administrator (DA) Ella Baris and Staff Mary Ann Trinidad and a signed copy of this report was provided.