Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year Visit and met with Daniel Sanchez.

LPA Marrufo toured the facility inside and out. LPA toured the kitchen area 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 available soap and paper towels and working lights. The water temperatures in the bathroom sinks ranged from 106 F to 116 F.

LPA toured three out of three resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. The carbon monoxide/smoke detectors in the hallways and three out of three resident rooms were tested during visit and functioned properly.

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

LPA reviewed five out of five resident records and five staff records and found them to be complete.

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