Facility Evaluation Report

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

During visit, LPA Marrufo toured the facility inside and out. LPA toured the kitchen area and observed there to be a locked drawer for sharp objects. LPA toured the facility food supply 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 working lights and available soap and paper towels. The bathroom sink water temperatures measured at 114 F and 115 F.

LPA toured three out of three resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke detectors in the hallways and three out of three bedrooms. Each smoke detector functioned properly when tested. LPA tested the carbon monoxide detector in the facility kitchen and it functioned properly when tested.

LPA toured the outside of the facility and observed the exits to be clear of obstructions.

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