Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year Visit and met with Sharon Basa, Administrator.

During visit, LPA toured the inside and outside of the facility. LPA toured the kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA reviewed the facility first aid kit and found it to be complete.

LPA toured three out of three resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the carbon monoxide/smoke detectors in the bedrooms and hallways and found them to function properly when tested.

LPA toured two out of two resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperatures in the bathroom ranged from 111 F to 116 F.

The fire drill log indicates the last drill was conducted on 03/30/2026.

LPA toured the outside area and found the outdoor exits to be clear of obstructions.

See LIC809-C page for more information. Page 1 of 2.