Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator Joseph Lansana.

During visit, LPA Marrufo 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 available soap and paper towels. The water temperatures in the bathroom sinks were measured at 115 F and 116 F. LPA toured five out of five resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas.

LPA toured the outside of the facility and observed the outdoor exits were clear of obstructions.

LPA reviewed four out of four resident records and four staff records and found them to be complete.

The emergency disaster drill log indicates the last drill was conducted on 10/16/2025. The fire detection system was last professionally tested on 05/08/2025. During visit, LPA Marrufo tested two out of two carbon monoxide detectors and they functioned properly when tested.

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