Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Dhorydel Sison Administrator, (ADM). LPA announced the purpose of the visit. LPA observed 1 staff and 4 residents.

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. Refrigerator temperature measured at 40 Degrees F.

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA toured 1 full resident bathroom and 1/2 bathroom. Bathrooms had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 109.7-110.8 degrees F. ADM tested the smoke detector in the kitchen and found smoke detector to function properly when tested.

LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 11/26/25. LPA reviewed Fire and Earthquake log. The last disaster drill was conducted on 10/15/25.

LPA reviewed resident records for 3 residents. LPA reviewed 2 staff records, 1 out of 2 staff file was not at the facility. ADM and LPA reviewed Centrally Stored medication for 3 residents.

Deficiency was cited as per California Code of Regulations Title 22. Technical violation issued see LIC9102. This report was reviewed with ADM and a copy of this report and appeal rights were provided.