Facility Evaluation Report

On 12/05/2025 Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Case Management visit to conduct a Non-Compliance Plan Quarterly Visit and met with Evelyn Canonizado, Administrator (ADM). LPA announced the purpose of the visit. LPA observed 1 resident waiting for day program. 3 out of 4 residents at day program. LPA observed 3 staff including ADM.

The purpose of the visit is to ensure the facility is adhering to the Compliance Plan submitted to Community Care Licensing (CCL) after an informal meeting held on 09/15/25.

During visit LPA reviewed the facility LIC 500 weekly schedule for the month of November. ADM is at the facility on Monday thru Friday 8:00 AM to 12:00 PM., ADM stated 2 staff are on vacation and other staff is covering for them. ADM stated the next scheduled training to address behavior and personal hygiene will be conducted on 12/12/25. ADM stated she will send LPA proof of training with date and time of training, training topic, trainer and attendees via email.

During visit LPA toured the facility and observed the facility in good repair and residents bedrooms with bedding and closets and lighting. LPA observed the exits to be clear and free of obstructions.

ADM stated that the facility has had no occurrence of residents trying to elope or wondering. ADM tested the Carbon Monoxide detector. Carbon Monoxide Detector functioned properly when tested.