Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required 1 - year annual inspection. LPA met with Administrator (ADM), Aida Urena. LPA arrived to the facility at 08:35am - 10:00am. Due to a Department meeting, LPA left the facility at 10:00am and returned at 11:30pm to continue the inspection.

During visit, LPA toured the facility with staff to include the resident bedrooms, bathrooms, living room, kitchen, garage, and backyard. The shed in the backyard observed with storage items. There were 2 staff present to 2 residents during visit. 2 staff present are fingerprint cleared and associated to the facility. All fire exit routes are free and clear of obstruction. Fire extinguisher purchased on 08/25/2025. Carbon monoxide present and observed operable. Facility temperature maintained at 74 degrees F. At 08:45AM, LPA measured the hot water temperature in the hallway bathroom which measured at 104.2 degrees F. The hot water was also measured in the resident's shared bedroom located next to the hallway bathroom, which measured at 102 degrees F. At 11:57AM, LPA measured the hot water in the hallway bathroom again which measured at 100.7 degrees F. A type A deficiency was cited today per Title 22 Section 80088(e)(1) based on the hot water temperature being measured below 105 degrees F. Resident bedrooms equipped with beds, linens, dressers, and adequate lighting. Bathrooms equipped hygiene items. Sharp objects observed locked.

It was observed that one of the bathrooms located in the shared resident bedroom near the second floor office area was currently under construction. ADM states the shower tiles are currently getting fixed because the tile were cracked. The residents in that bedroom are both ambulatory are currently using the shower located on the second floor while the shower tiles are under construction. SEE LIC809-C.