Facility Evaluation Report

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Melda Antonio, Administrator and Designated Administrator Jocelyn Perez. LPA stated the purpose of the visit.

During visit, LPA Yanez toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. 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 perishable and seven days non-perishable

LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA tested the smoke detectors in the hallway and three resident bedrooms and found the smoke detector to function properly when tested by Staff.. LPA toured one resident bathroom. Bathroom had available soap and paper towels and functioning lights. The water temperature in the bathroom sink measured water temperature with thermometer at 117.3 F. The room temperature measured at 70 degrees F.

LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 02/05/2024 LPA reviewed Fire and Earthquake log was last conducted on 12/05/24

LPA reviewed resident records for 3 out of 4 residents. LPA reviewed 3 staff records and found them to be complete. P and I was also reviewed with Administrator and found to be complete

No deficiency were cited as per California Code of Regulations Title 22. This report was reviewed with Administrator Melda Antonio and Designated Administrator Jocelyn Perez and a copy of this report was provided.