Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Matt Miao.

During visit, LPA toured the facility inside and out. LPA toured the kitchen area. LPA Marrufo 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 there to be locked cabinets for sharp objects and cleaning supplies. LPA reviewed the facility first aid kit and found it to be complete.

LPA toured two out of two bathrooms. Each bathroom had functioning lights and available soap and paper towels. The water temperatures in the bathrooms were 105 F.

LPA toured 7 out of 7 bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke detectors in 7 out of 7 bedrooms and in the hallways and all smoke detectors functioned properly when tested.

LPA toured the outdoor areas and found the exits to be clear of obstructions.

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