Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit. LPA Rai met with Administrator (ADM) Bradley Burgoyne and Director of Health Services (DHS) Adriana De La O and stated the purpose of today's visit.

During visit, LPA Rai toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPA Rai toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents.

LPA Rai toured the facility to include but not limited to at random 5 resident rooms, common areas, dining room and kitchen. 5 Out of 5 resident bedrooms had available bedding, drawers, and functioning lights. The resident bathroom had available soap, paper towels, and trash cans with lids. The hot water temperature in the bathroom sinks ranged from 114.2 - 117.8 degrees F.

Fire extinguisher was observed and inspected on 03/05/2026. Facility smoke detectors and sprinkler system was inspected by third party vendor on 03/11/2026 & 02/27/2026 and the reports stated the inspection was passed. The last disaster drills were conducted on 04/27/2026 & 03/05/2026. LPA Rai observed a complete first aid kit at the facility.