Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez and Christine Dolores-Kabarati conducted an unannounced Required 1 Year visit and met with Rhonald Aranzaso, Administrator (ADM). LPAs announced the purpose of the visit. LPAs observed 4 out of 5 resident and 2 staff.

During visit, LPAs toured the facility inside and out. LPA observed the room temp was 69 degrees F. 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 and sharp objects. The cabinet in the laundry room which supplied cleaning supplies were observed unlocked. Based on record review of 3 resident files, 1 out of 3 residents were at risk if allowed direct access to hygiene products. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested the smoke detectors in the hallway and found the smoke detector to function properly when tested by the administrator. 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 109 to 119 degrees F.

LPA observed bathroom #1 had the toilet seat missing and in disrepair and LPA also observed ants in the shower area (pictures taken). During visit, staff repaired the toilet seat. Staff cleaned the ants in the bathroom.

LPAs inspected the backyard and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 06/22/2023. Fire and earthquake log was reviewed and last disaster drill was on 1/10/25. LPA inspected the first aid kid and found to be complete with tweezers and gauze and first aid guide. Page 1 of 2