Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Assistant Administrator Tyrone Vega.

During visit, LPA Marrufo toured the facility inside and out. LPA toured the kitchen and pantry areas. LPA Marrufo observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least three days. LPA toured four out of four resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperatures in the bathroom sinks ranged from 107 F to 115 F. LPA toured 7 out of 7 resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. During visit, facility staff triggered the smoke detector and it functioned properly when tested. LPA tested the carbon monoxide detector and it functioned properly when tested. LPA toured the outside area and found the exits to be clear of obstructions. LPA observed the first aid kit and found it to be complete.

LPA reviewed eight out of eight resident records, including Centrally Stored Medication and Destruction Records and found them to be complete. LPA reviewed 6 out of 6 Personal and Incidental Money Logs and found them to be balanced. LPA reviewed five staff records and found them to be complete. The Emergency Disaster Drill Log indicates the last fire drill was conducted on 07/09/2026.

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