Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year Visit and met with staff Elizabeth Gonzalez.

During visit, LPA toured the facility inside and out. 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 observed the first aid kit and found it to be complete.

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 sinks were 112 F and 116 F.

LPA tested the smoke detectors in the hallways and in six out of six resident bedrooms. Each smoke detector functioned properly when tested. LPA tested one out of one carbon monoxide detector and it functioned properly when tested.

LPA toured six out of six resident bedrooms and found each bedroom to have working lights. All the occupied bedrooms had available bedding and clothing storage areas.

During visit, LPA observed that a sliding glass door did not completely close and lock and two staff were needed to open and close the sliding door. LPA observed a hole about 3 inches in diameter in one of the resident bedrooms. LPA toured the outside area and found the outdoor exits were clear of obstructions.

The Emergency Disaster Drill Log indicates the last disaster drill was conducted on 06/06/2025. See LIC809-C page for more information. Page 1 of 2.