Facility Evaluation Report

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Maria Cristobal. The facility is a level 6 facility. All residents were out for day program, two staff was observed in the facility. LPA reviewed 3 resident files and 3 staff files.

LPA toured the facility inside and out with ADM. License, personal rights posters and Administrator Certificate were observed in the facility.

Family room, living room, kitchen, dining area, 2 restrooms, 1 staff live-in room, 3 resident rooms, laundry room and garage/office were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. The temperature of the freezer was observed at -5 degree F, and the temperature of the refrigerator was observed at 15 degree F. Medication closet, knives closet, and chemical closet were observed locked. Room temperature was at 69 degree F, and hot water temperature was at 115 degree F in facility. Fire extinguisher was serviced on 8/13/2025. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Carbon monoxide detectors was tested, and were working. First aid box, night lights, and flash light were observed in the facility.

Front yard and backyard were inspected. There was no obstruction to block the walkways. ON storage room was observed at the backyard. The facility had fire and earthquake drills on 8/9/25 and emergency drill on 7/12/2025.

No citation noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.