Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Fe Punzalan, Administrator (ADM). LPA announced the purpose of the visit. LPA observed 4 staff. 6 out of 6 residents at day program.

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

LPA toured resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. Staff tested the smoke detector in the kitchen and found the smoke detector to function properly when tested. LPA toured three out of three resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 105-110 degrees F.

LPA toured the outside area and found the exits to be clear of obstructions and a shed being used as storage. LPA observed fire extinguisher was last serviced on 03/06/26. LPA reviewed Fire and Earthquake log, earthquake drill conducted on 3/2/2026, and fire drill conducted on 03/03/26.

LPA reviewed resident records for 3 residents. LPA reviewed 3 staff records. ADM and LPA reviewed centrally stored medication record and P&I for 3 residents.

No deficiency was cited as per California Code of Regulations Title 22. This report was reviewed with ADM and a copy of this report was provided.