Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Fatemeh Kaykha, Administrator (ADM). LPA announced the purpose of the visit. LPA observed 4 residents watching television and 3 staff. 1 out of 4 residents attends day program.

During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days.

During tour LPA observed dining room sliding door missing screen. ADM stated R2 accidentally broke it and it was being purchased today.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA observed a staff/office room. Staff tested the smoke detector in the kitchen and found the smoke detector to function properly when tested. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 111-113 degrees F.

LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was purchased on 12/4/25. LPA reviewed Fire and Earthquake log, Last fire drill conducted on 2/7/26, earthquake drill on 1210/25.